Individual provider Active NPI

Sheetal Ashish Shah, D.O.

  • Family Medicine Physician
  • Danville, CA
National Provider Identifier
1861620072
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
125055996 Issued in IL
Practice address
4165 Blackhawk Plaza Cir Ste 100
Danville, CA 94506-4691
Phone
(925) 736-7070
Fax
(925) 736-7075
NPI assigned
Jun 25, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 125055996 IL Primary

Addresses

Primary practice location

4165 Blackhawk Plaza Cir Ste 100
Danville, CA 94506-4691

Mailing address

4165 Blackhawk Plaza Cir Ste 100
Danville, CA 94506-4691
Phone (925) 736-7070

Other names 1

  • Sheetal Pravin Desai Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171003006538 CA Practitioner - Family Practice 2365677119 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bass Medical GroupGroup PAC ID 9032111281, 292 clinicians

Practice addresses (Care Compare)

1505 Saint Alphonsus Way
Alamo, CA 94507-1570
Phone (925) 932-6330

2637 Shadelands Dr
Walnut Creek, CA 94598-2512
Phone (925) 378-4512

3424 Camino Tassajara
Danville, CA 94506-4680
Phone (925) 309-2700

365 Lennon LN
Walnut Creek, CA 94598-5915

4165 Blackhawk Plaza Cir
Suite 100
Danville, CA 94506-4691
Phone (925) 736-7070

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.98 of 100Reported as apm
Quality
80.39
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
125055996ILMDFamily Medicine Physician
15613CAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bass Medical Group CurrentSince Nov 20, 2017 Accepting new patients
Bass Medical Group CurrentSince Nov 20, 2017 Accepting new patients
Bass Medical Group Family Medicine Current Accepting new patients
John Muir Health Past Accepting new patients
Bass Medical Group Past Accepting new patients
Advocate Health and Hospitals Corporation Past Accepting new patients
John Muir Health Past Accepting new patients
Advocate Health and Hospitals Corporation Past Accepting new patients

Locations

1505 Saint Alphonsus Way
Alamo, CA 94507
Phone (925) 837-4225

3424 Camino Tassajara
Danville, CA 94506
Phone (925) 309-2700

4165 Blackhawk Plaza Cir
Ste 100
Danville, CA 94506
Phone (925) 736-7070

2637 Shadelands Dr
Walnut Creek, CA 94598
Phone (925) 627-3424

365 Lennon Ln
Ste 250
Walnut Creek, CA 94598
Phone (925) 627-3424

Interoperability endpoints

  • Direct secure messaging: sshah113617@ehr.johnmuirhealth.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1861620072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4165 BLACKHAWK PLAZA CIR STE 100",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945064691",
            "telephone_number": "925-736-7070",
            "fax_number": "925-736-7075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4165 BLACKHAWK PLAZA CIR STE 100",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945064691",
            "telephone_number": "925-736-7070",
            "fax_number": "925-736-7075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SHEETAL",
        "middle_name": "ASHISH",
        "name_prefix": "Mrs.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "125055996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHEETAL",
            "last_name": "DESAI",
            "middle_name": "PRAVIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Danville, CA

Sources for this page

Verify at the official NPI Registry.