Individual provider Active NPI

Heena Ankit Shah-Patel, M.D.

  • Allergy & Immunology Physician
  • Upland, CA
National Provider Identifier
1881916864
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
A118245 Issued in CA
Practice address
1282 W Arrow Hwy Ste 100
Upland, CA 91786-5040
Phone
(909) 931-4034
Fax
(909) 931-2477
NPI assigned
Feb 18, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology (Internal Medicine) Physician 207RA0201X A118245 CA
Allergy & Immunology Physician 207K00000X A118245 CA Primary

Addresses

Primary practice location

1282 W Arrow Hwy Ste 100
Upland, CA 91786-5040

Mailing address

1282 W Arrow Hwy Ste 100
Upland, CA 91786-5040
Phone (909) 931-4034

Other names 1

  • Miss Heena Hasmukh Shah 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
I20160315001331 CA Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 7810293016 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allergy Sinus and Asthma Consultants IncGroup PAC ID 8224056429, 2 clinicians

Practice addresses (Care Compare)

1282 W Arrow Hwy
Suite 100
Upland, CA 91786-5040
Phone (909) 931-4034

Merit-based Incentive Payment System (MIPS)

Final score
91.24 of 100Reported as group
Quality
93.33
Improvement activities
40
Cost
74.38

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy, Sinus & Asthma Consultants Inc. CurrentSince May 1, 2016 Accepting new patients
Redlands Community Hospital Past Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients
Luther Mangoba, MD Inc. PastSince May 1, 2016 Accepting new patients

Locations

6377 Riverside Ave
Ste B101
Riverside, CA 92506
Phone (951) 686-0004

4646 Brockton Ave
Ste 101
Riverside, CA 92506
Phone (951) 774-2755

440 N Mountain Ave
Ste 301
Upland, CA 91786
Phone (909) 738-3500

1282 W Arrow Hwy
Ste 100
Upland, CA 91786
Phone (909) 931-4034

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://api.platform.athenahealth.com/12935/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1266451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1881916864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1282 W ARROW HWY STE 100",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917865040",
            "telephone_number": "909-931-4034",
            "fax_number": "909-931-2477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1282 W ARROW HWY STE 100",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917865040",
            "telephone_number": "909-931-4034",
            "fax_number": "909-931-2477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH-PATEL",
        "first_name": "HEENA",
        "middle_name": "ANKIT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-18",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "CA",
            "license": "A118245",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CA",
            "license": "A118245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEENA",
            "last_name": "SHAH",
            "middle_name": "HASMUKH",
            "prefix": "MISS",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Upland, CA

Sources for this page

Verify at the official NPI Registry.