Samir Ashok Shah, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

A85961 Issued in CA

Practice address

18582 Main St
Attn: Traill McCabe
Huntington Beach, CA 92648-1701

Phone

(714) 965-9696

Fax

(714) 965-9797

NPI assigned

May 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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

Ophthalmology

Education

University of Michigan Medical School, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Samir a Shah MD Professional CorporationGroup PAC ID 8820112162, 11 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

99.15 of 100Reported as group

Promoting interoperability

99

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: sha@sha.ecldirect.net

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.

• Samir a Shah MD Professional Corporation

  • Ophthalmology Physician
  • Huntington Beach, CA
  • NPI 1700197365
  Medicare reassignment Care Compare group Authorized official
• Hoag Memorial Hospital Presbyterian

  • General Acute Care Hospital
  • Newport Beach, CA
  • NPI 1518951300
  NPD (past)

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388707200000",
    "number": "1871545434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18582 MAIN ST",
            "address_2": "ATTN: TRAILL MCCABE",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481701",
            "telephone_number": "714-965-9696",
            "fax_number": "714-965-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18582 MAIN ST",
            "address_2": "ATTN: TRAILL MCCABE",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481701",
            "telephone_number": "714-965-9696",
            "fax_number": "714-965-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SAMIR",
        "middle_name": "ASHOK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2014-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A85961",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301089354",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amit Shah, DDS
• Kishore H Shah, RPT
• Lucinda Shah, CPHW
• Manali Shah, DDS
• Nayana Shah, MD
• Shalini M Shah, DDS
• Sonali Ashok Shah, D.O.
• Tejal Shah
• Ebtisam I Shalaby-Saleh, RPH
• Shalini Shah DDS and Associates

• Ophthalmology Physician in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2014; 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.