Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. SWETANG J SHAH M.D., M.P.H
NPI 1053744375
Pediatrics in Fremont, CA

Active since August 11, 2013PECOS Enrolled
40910 FREMONT BLVD, FREMONT, CA 94538(510) 770-8040 Get Directions Write a Review

NPPES record last updated: October 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Swetang J Shah M.d., M.p.h NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SWETANG J SHAH M.D., M.P.H (NPI 1053744375) is an individual pediatrics provider in Fremont, California, licensed in California (136884) and active in the NPI registry since August 2013. He is enrolled in Medicare PECOS, maintains a secondary practice location in San Jose, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1053744375
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. SWETANG J SHAHCredential: M.D., M.P.H
Location Address40910 FREMONT BLVDFremont, CA 94538-4375
Mailing Address40910 Fremont BlvdFremont, CA 94538-4375 · (510) 770-8040
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateAugust 11, 2013
Last NPPES UpdateOctober 23, 2026
NPPES CertifiedOctober 23, 2026
✔ NPI 1053744375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · 136884
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
40910 FREMONT BLVD, Fremont, CA 94538

Secondary Practice Location 1

Location 13055 McKee RdSan Jose, CA 95127-1835 · Phone (408) 729-9700 · Fax (408) 574-0175

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Swetang J Shah M.d., M.p.h is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012207293
PECOS Enrollment IDI20160531001149
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Swetang Shah reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
40910 FREMONT BLVD
Fremont, CA 94538
  • Reassigned Medicare billing, California enrollment
  • 127 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
1344 W CLINTON AVE
Fresno, CA 93705
  • Reassigned Medicare billing, California enrollment
  • 276 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94538 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Infectious Disease)
40910 FREMONT BLVD
FREMONT, CA 94538
Nurse Practitioner (Family)
40910 FREMONT BLVD
FREMONT, CA 94538
Dentist (General Practice)
40910 FREMONT BLVD
FREMONT, CA 94538
Dentist (General Practice)
40910 FREMONT BLVD
FREMONT, CA 94538
Internal Medicine
40910 FREMONT BLVD
FREMONT, CA 94538
Family Medicine
40910 FREMONT BLVD
FREMONT, CA 94538
Physician Assistant
40910 FREMONT BLVD
FREMONT, CA 94538
Dental Hygienist
40910 FREMONT BLVD
FREMONT, CA 94538

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 Swetang Shah's NPI number?

The NPI number for Swetang Shah is 1053744375. It was assigned to this individual provider in the NPPES registry on August 11, 2013.

Where is Swetang Shah located?

Swetang Shah practices at 40910 Fremont Blvd, Fremont, CA 94538. The listed phone number is (510) 770-8040.

What is Swetang Shah's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Swetang Shah enrolled in Medicare?

Yes. Swetang Shah is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Swetang Shah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Swetang Shah reassigns Medicare benefits to 2 organizations: Bay Area Community Health (Fremont, CA) and Family Healthcare Network (Fresno, CA). Each 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 Swetang Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Swetang Shah was last updated on October 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.