Individual provider Active NPI

Shweta Shah, D.O

  • Obstetrics & Gynecology Physician
  • Pasadena, CA
National Provider Identifier
1861887564
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
20A20283 Issued in CA
Practice address
625 S Fair Oaks Ave Ste 255
Pasadena, CA 91105-2666
Phone
(626) 304-2626
NPI assigned
Mar 31, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 20A20283 CA Primary
Obstetrics & Gynecology Physician 207V00000X 300304 NY

Addresses

Primary practice location

625 S Fair Oaks Ave Ste 255
Pasadena, CA 91105-2666

Mailing address

625 S Fair Oaks Ave Ste 255
Pasadena, CA 91105-2666
Phone (626) 304-2626

Other practice location 1

Medwell Women's Services 2183 Ocean Avenue
Brooklyn, NY 11229
Phone (718) 382-6565

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
I20230410002112 CA Practitioner - Obstetrics/Gynecology 6800100223 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
New York College of Osteo Medicine of New York Institute of Technology, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cedars-Sinai Medical Care FoundationGroup PAC ID 0941106645, 1,684 clinicians

Practice addresses (Care Compare)

625 S Fair Oaks Ave
Suite 255
Pasadena, CA 91105-2666
Phone (626) 304-2626

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.14 of 100Reported as group
Quality
84.79
Promoting interoperability
99
Improvement activities
40
Cost
73.15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20283CAMDGeneral Practice Dentistry
20A20283CAMDObstetrics & Gynecology Physician
300304NYMDObstetrics & Gynecology Physician
263434MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center Current Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Apr 1, 2023 Accepting new patients
Maimonides Medical Center Past Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients

Locations

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

625 S Fair Oaks Ave
Ste 255
Pasadena, CA 91105
Phone (626) 304-2613

4140 W 190th St
Torrance, CA 90504
Phone (310) 967-1780

Interoperability endpoints

  • Direct secure messaging: shwetashah@mai.allscriptsdirect.net
  • Direct secure messaging: sshah438393@direct.cshs.org

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1427760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1861887564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 S FAIR OAKS AVE STE 255",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052666",
            "telephone_number": "626-304-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 S FAIR OAKS AVE STE 255",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052666",
            "telephone_number": "626-304-2626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Medwell Women's Services 2183 Ocean Avenue",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "11229",
            "country_code": "US",
            "telephone_number": "718-382-6565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SHWETA",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-31",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "20A20283",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "300304",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.