Umesh Shah, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

A34147 Issued in CA

Practice address

12540 10TH St
Ste B
Chino, CA 91710-3503

Phone

(909) 591-6414

NPI assigned

Nov 17, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Montclair Hospital Medical Center Hospital, Montclair, CA, CCN 050758
• Chino Valley Medical Center Hospital, Chino, CA, CCN 050586

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Umesh C Shah MD a Professional Corp

  • Gastroenterology Physician
  • Chino, CA
  • NPI 1265755086
  Medicare reassignment Authorized official
• Axcend Physical Therapy

  • Physical Therapy Clinic/Center
  • Apple Valley, CA
  • NPI 1558839209
  NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Prime Healthcare Services - Montclair, LLC

  dba Montclair Hopsital Medical Center

  • General Acute Care Hospital
  • Montclair, CA
  • NPI 1992721161
  Care Compare affiliation
• Veritas Health Services, LLC

  dba Chino Valley Medical Center, Inc.

  • General Acute Care Hospital
  • Chino, CA
  • NPI 1962407460
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585267200000",
    "number": "1851465504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12540 10TH ST",
            "address_2": "STE B",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917103503",
            "telephone_number": "909-591-6414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12540 10TH ST",
            "address_2": "STE B",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917103503",
            "telephone_number": "909-591-6414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "UMESH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A34147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jayleanne Serrano
• Lucas B. Setiady, D.D.S.
• Sevenheavens LLC (7Heavens Homecare)
• Hannah Sevillano
• Nayan R. Shah, M.D.
• Vaishali Shah, RPH
• Nagy Shahid, RPH
• Melika Shahsavar Haghighi, DDS
• Mohammad Jehad Shakfeh, M.D
• Hamed Shalikar, M.D.

• Gastroenterology Physician in Chino, CA
• Providers in Chino, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2020; 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.

Verify at the official NPI Registry.