Individual provider Active NPI

Priyanka Shah, PA-C

  • Physician Assistant
  • Visalia, CA
National Provider Identifier
1992253686
Registry record updated Sep 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
53546 Issued in CA
Practice address
31180 Road 72
Visalia, CA 93291-9672
Phone
(877) 960-3426
NPI assigned
Sep 12, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 53546 CA Primary

Addresses

Primary practice location

31180 Road 72
Visalia, CA 93291-9672

Mailing address

305 E Center Ave
Visalia, CA 93291-6331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, FL, NY3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20191024000357 NJ Practitioner - Physician Assistant 3870871353 Reassigns benefits to 1 organization
I20210809003605 FL Practitioner - Physician Assistant 3870871353 Reassigns benefits to 2 organizations
I20250616000775 NY Practitioner - Physician Assistant 3870871353 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ronald R Brancaccio MD and Peter Saitta DO PCGroup PAC ID 0648351338, 23 clinicians
Shakespeare Operating LLCGroup PAC ID 0840604310, 144 clinicians
Essen Medical Associates, PCGroup PAC ID 1759353501, 264 clinicians

Practice addresses (Care Compare)

10933 71St Rd
Suite 1F
Forest Hills, NY 11375-4800
Phone (718) 491-5800

1250 Shakespeare Ave
Bronx, NY 10452-3012
Phone (646) 350-1633

2505 Grand Ave
Bronx, NY 10468-4206
Phone (718) 295-1400

828 E 149TH St
Bronx, NY 10455-4670
Phone (646) 350-1633

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
53546CAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Essen Medical Associates, PC CurrentSince Jun 26, 2025 Accepting new patients
Saitta Dermatology PC CurrentSince Mar 1, 2026 Accepting new patients
Cleveland Clinic Florida a Nonprofit Corporation CurrentSince Jul 26, 2021 Accepting new patients
Essen Medical Associates, PC CurrentSince Jun 26, 2025 Accepting new patients
Ronald R Brancaccio MD & Peter Saitta DO PC PastSince Mar 1, 2026 Accepting new patients
Pathology Medical Laboratories Past Accepting new patients

Locations

2950 Cleveland Clinic Blvd
Weston, FL 33331
Phone (954) 689-5000

1250 Shakespeare Ave
Bronx, NY 10452
Phone (646) 350-1633

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

7901 4th Ave
Ste A20
Brooklyn, NY 11209
Phone (718) 491-6900

10933 71st Rd
Ste 1F
Forest Hills, NY 11375
Phone (718) 575-2930

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: priyanka.shah@schweigerderm.emadirect.md

Organizations & group practices 12

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": "1473638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473638400000",
    "number": "1992253686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 E CENTER AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932916331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31180 ROAD 72",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932919672",
            "telephone_number": "877-960-3426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "PRIYANKA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-12",
        "last_updated": "2016-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "53546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.