PRIYAL SHAH MD
NPI 1104387075
Ophthalmology in Loma Linda, CA

Q: What is Priyal Shah's NPI number?

The NPI number for Priyal Shah is 1104387075. It was assigned to this individual provider in the NPPES registry on March 25, 2019.

Q: What is Priyal Shah's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Priyal Shah was last updated on July 1, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 25, 2019PECOS EnrolledAccepts Medicare Assignment

11370 ANDERSON ST STE 1800, LOMA LINDA, CA 92354(909) 558-2154 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 1, 2025, Jun 26, 2024 (2 updates tracked since 2024).

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About Priyal Shah Md NPPES

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

PRIYAL SHAH MD (NPI 1104387075) is an individual ophthalmology provider in Loma Linda, California, licensed in California (A200796) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in West Caldwell, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1104387075

Entity TypeIndividualFemale

Primary Taxonomy207W00000X

Provider Legal NamePRIYAL SHAHCredential: MD

Location Address11370 ANDERSON ST STE 1800Loma Linda, CA 92354-3450

Mailing Address11370 Anderson St Ste 1800Loma Linda, CA 92354-3450 · (909) 558-2154

Phone(909) 558-2154

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateMarch 25, 2019

Last NPPES UpdateJuly 1, 20252 updates tracked since enumeration

NPPES CertifiedJuly 1, 2025

✔ NPI 1104387075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

Licenses✔ Licensed in CA · A200796✔ Licensed in NJ · 25MA12048700

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.

11370 ANDERSON ST STE 1800, Loma Linda, CA 92354

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Secondary Practice Location 1

Location 1195 Fairfield Ave Ste 4BWest Caldwell, NJ 07006-6419 · Phone (732) 228-4990

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Priyal 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 ID1052758786

PECOS Enrollment IDI20250610003287

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.

Areas of Expertise CMS Part B claims 8

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 problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

165 services129 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.

86 services80 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

68 services62 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

63 services61 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

36 services36 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92354 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

$136.04 typical visit price

range $59.60 – $179.42

Typical copayment $34.01 (range $14.90 – $44.85)

Most-billed visit code 99204

Established Patient

$74.08 typical visit price

range $19.37 – $146.42

Typical copayment $18.52 (range $4.84 – $36.60)

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.

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Other Providers at the Same Location NPPES 15

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

DR. RITESH GUPTA MD

Ophthalmology