DR MONA SHAH PROFESSIONAL CORPORATION
NPI 1053643171
Internal Medicine in San Pedro, CA
About Dr Mona Shah Professional Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR MONA SHAH PROFESSIONAL CORPORATION (NPI 1053643171) is a healthcare organization registered as an internal medicine in San Pedro, California and active in the NPI registry since February 2010. The organization maintains a secondary practice location in San Pedro and lists Mona Shah, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr Mona Shah Professional Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
17Medicare enrollment records show 17 clinicians reassign Medicare billing to Dr Mona Shah Professional Corporation, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 12 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 6
Clinicians, nearest first (17)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Dr Mona Shah Professional Corporation's NPI number?
The NPI number for Dr Mona Shah Professional Corporation is 1053643171. It was assigned to this organization in the NPPES registry on February 1, 2010.
Where is Dr Mona Shah Professional Corporation located?
Dr Mona Shah Professional Corporation is located at 1600 S Gaffey St, San Pedro, CA 90731. The listed phone number is (310) 548-0201.
What is Dr Mona Shah Professional Corporation's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Dr Mona Shah Professional Corporation enrolled in Medicare?
Yes. Dr Mona Shah Professional Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Dr Mona Shah Professional Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians in 6 Medicare specialties reassign their Medicare billing to Dr Mona Shah Professional Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (6), Internal Medicine (5) and General Practice (2). Of these, 6 practice at this address and 12 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Dr Mona Shah Professional Corporation was last updated on September 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr Mona Shah Professional Corporation · NPI 1053643171
Internal Medicine organization in San Pedro, California. Organization record, active in the CMS NPPES registry since February 1, 2010.
## Identity
- **NPI:** 1053643171 (Entity type: Organization)
- **Enumerated:** February 1, 2010
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Mona Shah, OWNER
## Practice location
- **Address:** 1600 S GAFFEY ST, San Pedro, CA 90731-4628
- **Phone:** (310) 548-0201 · **Fax:** (310) 547-3340
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 17 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (6), Internal Medicine (5), General Practice (2); 6 practice at this address and 12 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 25, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1053643171) · Data from the CMS NPPES public registry.