DR. ANISH SUNDERRAJAN SHAH M.D
NPI 1164615589
Psychiatry & Neurology - Psychiatry in Santa Rosa, CA

Q: What is Anish Shah's NPI number?

The NPI number for Anish Shah is 1164615589. It was assigned to this individual provider in the NPPES registry on August 20, 2007.

Q: What is Anish Shah's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Anish Shah was last updated on February 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 August 20, 2007PECOS EnrolledAccepts Medicare Assignment

480 TESCONI CIR STE B, SANTA ROSA, CA 95401(707) 206-7268(707) 206-7254 Get Directions Write a Review

NPPES record last updated: February 8, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Anish Sunderrajan Shah M.d NPPES

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

DR. ANISH SUNDERRAJAN SHAH M.D (NPI 1164615589) is an individual psychiatry provider in Santa Rosa, California, licensed in California (A84992) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1164615589

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameDR. ANISH SUNDERRAJAN SHAHCredential: M.D

Location Address480 TESCONI CIR STE BSanta Rosa, CA 95401-4691

Mailing Address480 Tesconi Cir Ste BSanta Rosa, CA 95401-4691 · (707) 206-7268 · Fax (707) 206-7254

Phone(707) 206-7268

Fax(707) 206-7254

Sole ProprietorYes

Medical School CMSOtherGraduated 2005

Enumeration DateAugust 20, 2007

Last NPPES UpdateFebruary 8, 2018

✔ NPI 1164615589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in CA · A84992

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

480 TESCONI CIR STE B, Santa Rosa, CA 95401

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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. Anish Sunderrajan Shah M.d 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 ID7214074814

PECOS Enrollment IDI20091031000006

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

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

Siyan Clinical Corporation

Same address

Psychiatry

480 TESCONI CIR STE B
Santa Rosa, CA 95401

Reassigned Medicare billing, California enrollment
37 clinicians in this Medicare group

NPI 1568732972 (707) 206-7268

Department Of State Hospitals

28 mi

Psychiatric Hospital

2100 NAPA VALLEJO HWY
Napa, CA 94558

Reassigned Medicare billing, California enrollment
755 clinicians in this Medicare group

NPI 1326098161 (707) 253-5000

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 4

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.

Treatment using magnetic field to stimulate nerve cells in brain, subsequent delivery and management 90868

This treatment involves using a magnetic field to activate nerve cells in the brain. It's a non-invasive procedure designed to manage conditions like depression. The magnetic field is precisely targeted to stimulate specific areas of the brain to improve symptoms.

393 services14 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.

181 services60 patients

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

103 services40 patients

Psychiatric diagnostic evaluation with medical services 90792

A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.

14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95401 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

$187.01 typical visit price

range $63.04 – $187.01

Typical copayment $46.75 (range $15.76 – $46.75)

Most-billed visit code 99205

Established Patient

$77.94 typical visit price

range $21.02 – $153.40

Typical copayment $19.48 (range $5.25 – $38.35)

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 20

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

MR. JOHN DAVID WILDGUST RN, MSN, PHN, PMHNP

Nurse Practitioner (Psychiatric/Mental Health)