Active NPI
Khushali Shah, MD, MPH
- Cornea and External Diseases Specialist Physician
- Fairfax, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cornea and External Diseases Specialist Physician
- License
- 0101289113
- Practice address
- 3998 Fair Ridge Dr Ste 105
Fairfax, VA 22033-2980 - Phone
- (571) 349-2191
- Fax
- (571) 349-2211
- NPI assigned
- Mar 25, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | A202221 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Cornea and External Diseases Specialist Physician | 207WX0120X | 0101289113 | VA | Primary |
Addresses
Primary practice location
3998 Fair Ridge Dr Ste 105
Fairfax, VA 22033-2980
Mailing address
3998 Fair Ridge Dr Ste 105
Fairfax, VA 22033-2980
Phone (571) 349-2191
Other practice location 1
1001 Potrero Avenue
Bldg. 5, 4M
San Francisco, CA 94110-3518
Phone (628) 206-8025
Other practice location 2
1 Gustave L Levy Pl
New York, NY 10029-6504
Phone (212) 241-6500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- University of Miami, LM Miller School of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1001 Potrero Ave
San Francisco, CA 94110-3518
1001 Potrero Ave BLDG 80 Ward 83
Suite 32
San Francisco, CA 94110-3518
Phone (628) 206-8610
400 Parnassus Ave
San Francisco, CA 94143-2202
505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-4029
Hospital & facility affiliations
- UCSF Medical Center
- Zuckerberg San Francisco General Hosp & Trauma Ctr
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A202221 | CA | MD | Ophthalmology Physician |
Practice roles
Locations
3100 San Pablo Ave
Berkeley, CA 94702
Phone (510) 985-5020
747 52nd St
Oakland, CA 94609
Phone (510) 428-3070
505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058
400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000
1001 Potrero Ave
Rm 3A
San Francisco, CA 94110
Phone (415) 206-4632
1001 Potrero Ave
Bldg 5
San Francisco, CA 94110
Phone (628) 206-5753
2001 The Embarcadero
Ste 1500
San Francisco, CA 94143
Phone (415) 353-1606
2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444
1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305
3998 Fair Ridge Dr
Ste 105
Fairfax, VA 22033
Phone (571) 349-2191
7915 Lake Manassas Dr
Ste 210
Gainesville, VA 20155
Phone (571) 349-2191
Interoperability endpoints
- kshah422435@direct-ucsfmedicalcenter.org
Organizations & group practices 14
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1760552343
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1477624104
Ophthalmology
-
- Anesthesiology Physician
- San Francisco, CA
- NPI 1366417420
-
- Clinical Medical Laboratory
- San Francisco, CA
- NPI 1982737524
-
- Pediatrics Physician
- San Francisco, CA
- NPI 1861578973
-
- Ophthalmology Physician
- Fairfax, VA
- NPI 1275904674
-
- Community Health/Public Health Clinical Nurse Specialist
- San Francisco, CA
- NPI 1609041060
-
- Methadone Clinic
- San Francisco, CA
- NPI 1578787925
-
- Health Service Clinic/Center
- San Francisco, CA
- NPI 1194115246
-
- Community/Retail Pharmacy
- San Francisco, CA
- NPI 1659141711
-
- Vascular Surgery Physician
- San Francisco, CA
- NPI 1033913959
-
- Ophthalmology Physician
- San Francisco, CA
- NPI 1770558827
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1083648810
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1164609962
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1689772592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782172800000",
"number": "1699352856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3998 FAIR RIDGE DR STE 105",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220332980",
"telephone_number": "571-349-2191",
"fax_number": "571-349-2211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3998 FAIR RIDGE DR STE 105",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220332980",
"telephone_number": "571-349-2191",
"fax_number": "571-349-2211"
}
],
"practiceLocations": [
{
"address_1": "1001 Potrero Avenue",
"address_2": "Bldg. 5, 4M",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941103518",
"country_code": "US",
"telephone_number": "628-206-8025",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Gustave L Levy Pl",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100296504",
"country_code": "US",
"telephone_number": "212-241-6500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAH",
"first_name": "KHUSHALI",
"name_prefix": "Dr.",
"credential": "MD, MPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-25",
"last_updated": "2026-06-23",
"certification_date": "2026-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CA",
"license": "A202221",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207WX0120X",
"taxonomy_group": "",
"desc": "Ophthalmology, Cornea and External Diseases Specialist",
"state": "VA",
"license": "0101289113",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.