SARITA SHAH MD, PHD
NPI 1265939235
Psychiatry & Neurology - Psychiatry in San Diego, CA

Q: What is Sarita Shah's NPI number?

The NPI number for Sarita Shah is 1265939235. It was assigned to this individual provider in the NPPES registry on April 6, 2018.

Q: What is Sarita Shah's specialty?

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

Q: Is Sarita Shah enrolled in Medicare?

No. Sarita Shah has opted out of Medicare through October 17, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Sarita Shah was last updated on December 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since April 06, 2018Opted out of Medicare · through Oct 17, 2026

5060 SHOREHAM PL STE 100, SAN DIEGO, CA 92122(210) 386-3614(949) 703-7489 Get Directions Write a Review

NPPES record last updated: December 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 18, 2024, Aug 16, 2024, May 25, 2022 and 1 more (4 updates tracked since 2022).

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About Sarita Shah Md, Phd NPPES

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

SARITA SHAH MD, PHD (NPI 1265939235) is an individual psychiatry provider in San Diego, California, licensed in California (A163913) and active in the NPI registry since April 2018. She has opted out of Medicare through October 17, 2026 and remains eligible to order and refer and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1265939235

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameSARITA SHAHCredential: MD, PHD

Location Address5060 SHOREHAM PL STE 100San Diego, CA 92122-5904

Mailing Address5060 Shoreham Pl Ste 100San Diego, CA 92122-5904 · (210) 386-3614 · Fax (949) 703-7489

Phone(210) 386-3614

Fax(949) 703-7489

Sole ProprietorNo

Enumeration DateApril 6, 2018

Last NPPES UpdateDecember 18, 20244 updates tracked since enumeration

NPPES CertifiedDecember 18, 2024

✔ NPI 1265939235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in CA · A163913

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

5060 SHOREHAM PL STE 100, San Diego, CA 92122

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Secondary Practice Locations 2

Location 1200 Arbor Drive 0851San Diego, CA 92103 · Phone (619) 471-0209

Location 21828 E Cesar E Chavez Ave Ste 4500Los Angeles, CA 90033-2577 · Phone (858) 221-0344 · Fax (858) 248-4262

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Sarita Shah Md, Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 17, 2024 through October 17, 2026.

Opt-Out Effective DateOctober 17, 2024

Opt-Out In Effect ThroughOctober 17, 2026Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92122 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

$184.71 typical visit price

range $62.10 – $184.71

Typical copayment $46.17 (range $15.52 – $46.17)

Most-billed visit code 99205

Established Patient

$76.87 typical visit price

range $20.62 – $151.42

Typical copayment $19.21 (range $5.15 – $37.85)

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 13

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

MARISA PROVENZANO LCSW

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