Active NPI
Sheetal Ashish Shah, D.O.
- Family Medicine Physician
- Danville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 125055996
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
- Family Practice
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
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
- Silverline Staff Home Health
- John Muir Medical Center - Walnut Creek Campus
- San Ramon Regional Medical Center
- John Muir Medical Center - Concord Campus
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.98 of 100
- Quality
- 80.39
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125055996 | IL | MD | Family Medicine Physician |
| 15613 | CA | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bass Medical Group | Current | Accepting new patients | |
| Bass Medical Group | Current | 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
- 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.
-
- Obstetrics & Gynecology Physician
- Walnut Creek, CA
- NPI 1174253405
Family Medicine
-
- Orthopaedic Surgery Physician
- Antioch, CA
- NPI 1396124574
-
- Orthopaedic Surgery Physician
- San Ramon, CA
- NPI 1467329904
-
- Specialist
- Walnut Creek, CA
- NPI 1154401941
-
- Rehabilitation Hospital Unit
- Walnut Creek, CA
- NPI 1447269303
-
dba John Muir Health Medical Center, Concord Campus
- General Acute Care Hospital
- Concord, CA
- NPI 1801821376
-
dba Advocate South Suburban Hospital
- General Acute Care Hospital
- Hazel Crest, IL
- NPI 1467560128
-
dba Advocate Christ Medical Center
- General Acute Care Hospital
- Oak Lawn, IL
- NPI 1548375082
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba John Muir Health, Walnut Creek Medical Center
- General Acute Care Hospital
- Walnut Creek, CA
- NPI 1740215219
-
dba John Muir Health Medical Center, Concord Campus
- General Acute Care Hospital
- Concord, CA
- NPI 1801821376
-
- General Acute Care Hospital
- San Ramon, CA
- NPI 1932131489
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
- Serena Kamdar Mazzola Professional Psychology Corporation (Blackhawk Family Development Center)
- Janelle Serrano
- Clifford John Sewell, M.D.
- Jamie Vanessa Shackelford, RD
- Sarika Shah, RD
- Shahin Pahlevani D.M.D Inc. (Form Dental Studio)
- Sara Shahnavaz, DDS
- Hennah Shamel, PA-C
- Xiaoqian Shao, MS
- Steven How-Han Sheh, M.D., M.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.