Individual provider Active NPI

Samir Bipin Shah, M.D.

  • Ophthalmology Physician
  • Walnut Creek, CA
National Provider Identifier
1922014851
Registry record updated Oct 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A68255 Issued in CA
Practice address
301 Lennon Lane
Suite 201
Walnut Creek, CA 94598
Phone
(925) 296-6100
Fax
(925) 932-1160
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A68255 CA Primary

Addresses

Primary practice location

301 Lennon Lane
Suite 201
Walnut Creek, CA 94598

Mailing address

301 Lennon Lane
Suite 201
Walnut Creek, CA 94598
Phone (925) 296-6100

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
I20040217001202 CA Practitioner - Ophthalmology 8729973896 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
George Washington University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
California Eye ClinicGroup PAC ID 9931092962, 8 clinicians

Practice addresses (Care Compare)

3747 Sunset LN
Suite a
Antioch, CA 94509-6101
Phone (925) 754-2300

Merit-based Incentive Payment System (MIPS)

Final score
89.87 of 100Reported as group
Quality
93.35
Improvement activities
40
Cost
58.42

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Contra Costa County CurrentSince Jan 27, 2026 Accepting new patients
California Eye Clinic Ophthalmology Current Accepting new patients
California Eye Clinic Ophthalmology CurrentSince May 29, 2013 Accepting new patients
California Eye Clinic Ophthalmology CurrentSince May 29, 2013 Accepting new patients
Contra Costa County CurrentSince Jan 27, 2026 Accepting new patients

Locations

3747 Sunset Ln
#A
Antioch, CA 94509
Phone (925) 754-2300

2500 Alhambra Ave
Martinez, CA 94553
Phone (925) 370-5000

301 Lennon Ln
Ste 201
Walnut Creek, CA 94598
Phone (925) 296-6100

Organizations & group practices 6

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255910400000",
    "number": "1922014851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LENNON LANE",
            "address_2": "SUITE 201",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "94598",
            "telephone_number": "925-296-6100",
            "fax_number": "925-646-0148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 LENNON LANE",
            "address_2": "SUITE 201",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "94598",
            "telephone_number": "925-296-6100",
            "fax_number": "925-932-1160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SAMIR",
        "middle_name": "BIPIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2009-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A68255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.