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PRIYA KHANIJOU SHAH M.D.
NPI 1316129109
Internal Medicine in Orange, CA

Active since December 03, 2007PECOS EnrolledAccepts Medicare Assignment
61.84/100
CMS Quality Rating
725 W LA VETA AVE, SUITE 220, ORANGE, CA 92868(714) 771-5700(714) 771-9979 Get Directions Write a Review

NPPES record last updated: February 14, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Priya Khanijou Shah M.d. NPPES

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

PRIYA KHANIJOU SHAH M.D. (NPI 1316129109) is an individual internal medicine provider in Orange, California, licensed in California (A98798) and active in the NPI registry since December 2007. She is enrolled in Medicare PECOS and is a graduate of University Of Southern California Keck School Of Medicine (2005).

NPPES Registry Identity

NPI1316129109
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NamePRIYA KHANIJOU SHAHCredential: M.D.
Location Address725 W LA VETA AVE, SUITE 220Orange, CA 92868-4403
Mailing Address725 W La Veta Ave, Suite 220Orange, CA 92868-4403 · (714) 771-5700 · Fax (714) 771-9979
Phone(714) 771-5700
Fax(714) 771-9979
Sole ProprietorYes
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 2005
Enumeration DateDecember 3, 2007
Last NPPES UpdateFebruary 14, 2017
✔ NPI 1316129109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A98798
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
725 W LA VETA AVE, Orange, CA 92868
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Other Identifiers 1

Medicare PINCB205938CA

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

Priya Khanijou 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 ID2769556190
PECOS Enrollment IDI20080804000357
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 10

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.
640 services460 patients
Ultrasound scan of head and neck soft tissue 76536
An ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.
135 services128 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
118 services87 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
105 services78 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
81 services81 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.
46 services45 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92868 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

61.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.55
Promoting Interoperability76
Improvement Activities0
Cost52.27

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
4 suppliers20 claims257 services$17.62 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
4 suppliers20 claims600 services$2.35 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
13 suppliers20 claims55 services$6.42 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
11 suppliers14 claims19 services$1.14 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
9 suppliers236 claims236 services$185.24 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 18

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

PAUL A. BECK MD A MEDICAL CORPORATION
Orthopaedic Surgery
725 W LA VETA AVE, STE. 260
ORANGE, CA 92868
Orange County (714) 639-3750
DR. SARAH SAMIMI FIELD MD
Allergy & Immunology (Allergy)
725 W LA VETA AVE, STE 100
ORANGE, CA 92868
Orange County (714) 633-6363
VERONICA H MCNAMARA FNP
Nurse Practitioner (Family)
725 W LA VETA AVE
ORANGE, CA 92868
Orange County (714) 771-8006
MR. RODNEY STRACHAN MD
Anesthesiology
725 W LA VETA AVE, SUITE 270
ORANGE, CA 92868
Orange County (714) 744-0900
RODNEY STRACHAN M.D. INC
Anesthesiology
725 W LA VETA AVE, SUITE 270
ORANGE, CA 92868
Orange County (714) 744-0900
MARTA SARMIENTO, M.D.,INC.
Pediatrics
725 W LA VETA AVE, #200
ORANGE, CA 92868
Orange County (714) 771-2229
DR. DAVID ALAN CHAMBERLIN MD
Urology
725 W LA VETA AVE, #220
ORANGE, CA 92868
Orange County (714) 639-3134
NGOC-HAI T. TRUONG M.D. INC
Anesthesiology
725 W LA VETA AVE, SUITE 270
ORANGE, CA 92868
Orange County (714) 744-0900

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 Priya Shah's NPI number?

The NPI number for Priya Shah is 1316129109. It was assigned to this individual provider in the NPPES registry on December 3, 2007.

Where is Priya Shah located?

Priya Shah practices at 725 W La Veta Ave Suite 220, Orange, CA 92868. The listed phone number is (714) 771-5700.

What is Priya Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Priya Shah enrolled in Medicare?

Yes. Priya 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 Priya Shah was last updated on February 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.