SUSHMA V SHAH MD
NPI 1104817527
Emergency Medicine in Modesto, CA

Q: What is Sushma Shah's NPI number?

The NPI number for Sushma Shah is 1104817527. It was assigned to this individual provider in the NPPES registry on November 3, 2005.

Q: What is Sushma Shah's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Sushma Shah was last updated on July 12, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since November 03, 2005PECOS Enrolled

4301 N STAR WAY, MODESTO, CA 95356(209) 342-2300(209) 524-4240 Get Directions Write a Review

NPPES record last updated: July 12, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Sushma V Shah Md NPPES

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

SUSHMA V SHAH MD (NPI 1104817527) is an individual emergency medicine provider in Modesto, California, licensed in California (A66980) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104817527

Entity TypeIndividualFemale

Primary Taxonomy207P00000X

Provider Legal NameSUSHMA V SHAHCredential: MD

Location Address4301 N STAR WAYModesto, CA 95356-9262

Mailing Address20103 Lake Chabot RdCastro Valley, CA 94546-5305 · (510) 889-5092 · Fax (510) 537-0666

Phone(209) 342-2300

Fax(209) 524-4240

Sole ProprietorYes

Enumeration DateNovember 3, 2005

Last NPPES UpdateJuly 12, 2007

✔ NPI 1104817527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in CA · A66980

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

4301 N STAR WAY, Modesto, CA 95356

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Other Identifiers 4

Other00A669800CA · Blue Shield

Medicare ID-Type Unspecified00A669801CA

Medicare UPINH37892

Medicaid00A669800CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sushma V Shah Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95356 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

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

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.

DR. SCOTT GOODWIN SILVEIRA M. D.

Pathology (Anatomic Pathology & Clinical Pathology)