NISHIT SHASHIKANT SHAH M.D
NPI 1316259864
Pediatrics in San Jose, CA
About Nishit Shashikant Shah M.d NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NISHIT SHASHIKANT SHAH M.D (NPI 1316259864) is an individual pediatrics provider in San Jose, California, licensed in California (A167291) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2008).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Other Identifiers 1
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
Nishit Shashikant 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.
Medicare Billing Reassignment
Medicare enrollment records show Nishit Shah reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fremont, CA 94538
- Reassigned Medicare billing, California enrollment
- 127 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95138 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Nishit Shah's NPI number?
The NPI number for Nishit Shah is 1316259864. It was assigned to this individual provider in the NPPES registry on July 12, 2010.
Where is Nishit Shah located?
Nishit Shah practices at 5504 Monterey Rd, San Jose, CA 95138. The listed phone number is (510) 770-8040.
What is Nishit Shah's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Nishit Shah enrolled in Medicare?
Yes. Nishit 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.
Which organization bills Medicare for Nishit Shah's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nishit Shah reassigns Medicare benefits to Bay Area Community Health (Fremont, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nishit Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Nishit Shah was last updated on October 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.
# Nishit Shashikant Shah, M.D · NPI 1316259864
Pediatrics physician in San Jose, California. Individual provider, active in the CMS NPPES registry since July 12, 2010.
## Identity
- **NPI:** 1316259864 (Entity type: Individual)
- **Enumerated:** July 12, 2010
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** A167291 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5504 MONTEREY RD, San Jose, CA 95138-1529
- **Phone:** (510) 770-8040
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Bay Area Community Health (NPI 1780054379, Fremont, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** October 22, 2026
- **Other identifiers:** Other P7349 (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1316259864) · Data from the CMS NPPES public registry.