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APEKSHA SHAH MD
NPI 1053948125
Ophthalmology in Costa Mesa, CA

Active since March 26, 2020PECOS EnrolledAccepts Medicare Assignment
1640 NEWPORT BLVD STE 220, COSTA MESA, CA 92627(949) 873-5352(949) 873-5394 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Apeksha Shah Md NPPES

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

APEKSHA SHAH MD (NPI 1053948125) is an individual ophthalmology provider in Costa Mesa, California, licensed in California (A185626) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Saint Louis University School Of Medicine (2023).

NPPES Registry Identity

NPI1053948125
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameAPEKSHA SHAHCredential: MD
Location Address1640 NEWPORT BLVD STE 220Costa Mesa, CA 92627-3786
Mailing Address11234 Anderson St Ste CLoma Linda, CA 92354-2804 · (909) 558-4074
Phone(949) 873-5352
Fax(949) 873-5394
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 2023
Enumeration DateMarch 26, 2020
Last NPPES UpdateJune 17, 2026
NPPES CertifiedJune 17, 2026
✔ NPI 1053948125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in CA · A185626
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
1640 NEWPORT BLVD STE 220, Costa Mesa, CA 92627
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Secondary Practice Locations 3

Location 110837 Laurel St Ste 103Rancho Cucamonga, CA 91730-0632 · Phone (909) 477-8810
Location 2500 S Anaheim Hills Rd Ste 234Anaheim, CA 92807-4760 · Phone (714) 921-0232 · Fax (714) 921-0535
Location 3400 N Pepper AveColton, CA 92324-1801 · Phone (909) 580-1000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and more.Insurance ›

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

Apeksha Shah Md 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 ID9931643913
PECOS Enrollment IDI20240701003673
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

3

Medicare enrollment records show Apeksha Shah reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Upland Outpatient Surgery Center LP
34 mi
Ambulatory Surgical
1211 W 6TH ST
Ontario, CA 91762
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Arrowhead Eye Associates Inc
  • 4 clinicians in this Medicare group
NPI 1710945787 (909) 981-8755
Retina Institute Of California Medical Group, A California Medical Par
37 mi
Ophthalmology
100 E CALIFORNIA BLVD
Pasadena, CA 91105
  • Reassigned Medicare billing, California enrollment
  • 83 clinicians in this Medicare group
NPI 1760541569 (800) 898-2020
Kris J Storkersen M D Inc
45 mi
Ophthalmology
400 N PEPPER AVE FL 2
Colton, CA 92324
  • Reassigned Medicare billing, California enrollment
  • 3 clinicians in this Medicare group
NPI 1679100721 (909) 580-2505

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

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
92 services83 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
76 services71 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
55 services55 patients
Extended exam of the back part of the eye with optic nerve drawing 92202
This procedure involves a detailed examination of the back part of your eye, focusing on the optic nerve, a crucial component for vision. A drawing or map of the optic nerve is created to help track any changes over time. This can help detect eye diseases early.
32 services32 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
15 services11 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92627 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
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 3

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

COMPLETE SPINE AND WELLNESS GROUP, INC
Chiropractor (Rehabilitation)
1640 NEWPORT BLVD STE 220
COSTA MESA, CA 92627
Orange County (949) 650-4362
RETINA INSTITUTE OF CALIFORNIA MEDICAL GROUP, A CALIFORNIA MEDICAL PAR
Ophthalmology
1640 NEWPORT BLVD STE 220
COSTA MESA, CA 92627
Orange County (949) 876-5046
MY LINH TON-NU OD
Optometrist
1640 NEWPORT BLVD STE 220
COSTA MESA, CA 92627
Orange County (714) 951-3297

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 Apeksha Shah's NPI number?

The NPI number for Apeksha Shah is 1053948125. It was assigned to this individual provider in the NPPES registry on March 26, 2020.

Where is Apeksha Shah located?

Apeksha Shah practices at 1640 Newport Blvd Ste 220, Costa Mesa, CA 92627. The listed phone number is (949) 873-5352.

What is Apeksha Shah's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Apeksha Shah enrolled in Medicare?

Yes. Apeksha 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 Apeksha Shah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Apeksha Shah reassigns Medicare benefits to 3 organizations: Upland Outpatient Surgery Center LP (Ontario, CA), Retina Institute Of California Medical Group, A California Medical Par (Pasadena, CA) and Kris J Storkersen M D Inc (Colton, 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 Apeksha Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Apeksha Shah accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 2 other insurers list Apeksha Shah as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Apeksha Shah was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.