SAGAR KAMLESH SHAH MD
NPI 1164780052
Family Medicine in Encinitas, CA

Active since April 27, 2012PECOS EnrolledAccepts Medicare Assignment
477 N EL CAMINO REAL STE A306, ENCINITAS, CA 92024(760) 942-0118(760) 942-5319 Get Directions Write a Review

NPPES record last updated: January 13, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 13, 2022, Dec 28, 2021, Jun 29, 2021 and 2 more (5 updates tracked since 2017).

About Sagar Kamlesh Shah Md NPPES

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

SAGAR KAMLESH SHAH MD (NPI 1164780052) is an individual family medicine provider in Encinitas, California, licensed in California (A171687) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1164780052
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSAGAR KAMLESH SHAHCredential: MD
Location Address477 N EL CAMINO REAL STE A306Encinitas, CA 92024-1350
Mailing Address477 N El Camino Real Ste A306Encinitas, CA 92024-1350 · (760) 942-0118
Fax(760) 942-5319
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateApril 27, 2012
Last NPPES UpdateJanuary 13, 20225 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2022
NPI 1164780052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in CA · A171687 Licensed in WI · 62697
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
477 N EL CAMINO REAL STE A306, Encinitas, CA 92024

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

Sagar Kamlesh 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 ID8921328600
PECOS Enrollment IDI20210707001637
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 20

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 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.
405 services231 patients
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.
282 services223 patients
Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
131 services28 patients
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes G0446
This is a yearly, personal consultation focused on behaviors affecting heart health. It lasts 15 minutes and may cover topics like diet, exercise, and stress management. It's about learning healthy habits to protect your heart.
78 services78 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
56 services56 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
48 services48 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92024 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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 5

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

Physician Assistant
477 N EL CAMINO REAL STE A306
ENCINITAS, CA 92024
Physician Assistant
477 N EL CAMINO REAL STE A306
ENCINITAS, CA 92024
Physician Assistant
477 N EL CAMINO REAL STE A306
ENCINITAS, CA 92024
Physician Assistant
477 N EL CAMINO REAL STE A306
ENCINITAS, CA 92024
Physician Assistant
477 N EL CAMINO REAL STE A306
ENCINITAS, CA 92024

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 Sagar Shah's NPI number?

The NPI number for Sagar Shah is 1164780052. It was assigned to this individual provider in the NPPES registry on April 27, 2012.

Where is Sagar Shah located?

Sagar Shah practices at 477 N El Camino Real Ste A306, Encinitas, CA 92024. The listed phone number is (760) 942-0118.

What is Sagar Shah's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sagar Shah enrolled in Medicare?

Yes. Sagar 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.

When was this NPI record last updated?

The NPPES record for Sagar Shah was last updated on January 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.