SHIBANI SUNILKUMAR SHAH
NPI 1326719063
Nurse Practitioner in Newport Beach, CA

Q: What is Shibani Shah's NPI number?

The NPI number for Shibani Shah is 1326719063. It was assigned to this individual provider in the NPPES registry on September 22, 2021.

Q: What is Shibani Shah's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Shibani Shah was last updated on October 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 September 22, 2021PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

1441 AVOCADO AVE STE 409, NEWPORT BEACH, CA 92660(949) 640-4501(949) 640-0741 Get Directions Write a Review

NPPES record last updated: October 11, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 11, 2021, Sep 22, 2021 (2 updates tracked since 2021).

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About Shibani Sunilkumar Shah NPPES

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

SHIBANI SUNILKUMAR SHAH (NPI 1326719063) is an individual nurse practitioner in Newport Beach, California, licensed in California (95018730) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1326719063

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSHIBANI SUNILKUMAR SHAH

Location Address1441 AVOCADO AVE STE 409Newport Beach, CA 92660-7705

Mailing Address6399 San Ignacio Ave Ste 120San Jose, CA 95119-1215 · (714) 312-9701 · Fax (408) 904-7730

Phone(949) 640-4501

Fax(949) 640-0741

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateSeptember 22, 2021

Last NPPES UpdateOctober 11, 20212 updates tracked since enumeration

NPPES CertifiedOctober 11, 2021

✔ NPI 1326719063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in CA · 95018730

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered NurseTaxonomy 163W00000X · License 95063243 (CA)

1441 AVOCADO AVE STE 409, Newport Beach, CA 92660

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Secondary Practice Locations 2

Location 1701 E 28th St Ste 311Long Beach, CA 90806-2780 · Phone (562) 595-4777 · Fax (562) 424-9644

Location 21360 W 6th St Ste 370San Pedro, CA 90732-3527 · Phone (310) 519-8890 · Fax (310) 519-9349

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

Shibani Sunilkumar Shah 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 ID3870982630

PECOS Enrollment IDI20211116002726

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 Shibani Shah reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Island Dermatology, Inc

0.1 mi

Dermatology

360 SAN MIGUEL DR, SUITE 501
Newport Beach, CA 92660

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

NPI 1508815556 (949) 720-1170

J Robert West, M.D., Inc

0.1 mi

Dermatology

400 NEWPORT CENTER DR STE 702
Newport Beach, CA 92660

Reassigned Medicare billing, California enrollment
Medicare enrollment name: J Robert West MD Inc
121 clinicians in this Medicare group

NPI 1932154788 (949) 644-0101

Csi Medical Group

27 mi

MOHS-Micrographic Surgery

1360 W 6TH ST STE 370
San Pedro, CA 90732

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

NPI 1871909804 (310) 519-8890

Huntington Dermatology Medical Group Inc

39 mi

Dermatology

800 FAIRMOUNT AVE, SUITE 425
Pasadena, CA 91105

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

NPI 1275664435 (415) 802-1310

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 9

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.

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.

304 services51 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.

105 services80 patients

Destruction of precancer skin growth, 1 growth 17000

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

68 services57 patients

Biopsy of related skin growth, first growth 11102

A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.

54 services49 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.

53 services47 patients

Biopsy of related skin growth, each additional growth 11103

A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.

35 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92660 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Improvement Activities

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.

JEANNE M. SPUDICK, D.O., A MEDICAL CORPORATION

Internal Medicine (Infectious Disease)

1441 AVOCADO AVE STE 409
NEWPORT BEACH, CA 92660

Orange County (949) 640-4501

FATIMEH ABDALLAH P.A.-C

Physician Assistant

1441 AVOCADO AVE STE 409
NEWPORT BEACH, CA 92660

Orange County (949) 640-4501

GREGORY PHILIP HENDERSON M.D.

Dermatology (MOHS-Micrographic Surgery)

1441 AVOCADO AVE STE 409
NEWPORT BEACH, CA 92660

Orange County (949) 640-4501

DAVID C. HERZLINGER,M.D.,A PROFESSIONAL CORP

Specialist

1441 AVOCADO AVE STE 409
NEWPORT BEACH, CA 92660

Orange County (949) 640-4501

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 Shibani Shah's NPI number?

The NPI number for Shibani Shah is 1326719063. It was assigned to this individual provider in the NPPES registry on September 22, 2021.

Where is Shibani Shah located?

Shibani Shah practices at 1441 Avocado Ave Ste 409, Newport Beach, CA 92660. The listed phone number is (949) 640-4501.

What is Shibani Shah's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Shibani Shah enrolled in Medicare?

Yes. Shibani 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 organizations bill Medicare for Shibani Shah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shibani Shah reassigns Medicare benefits to 4 organizations: Island Dermatology, Inc (Newport Beach, CA), J Robert West, M.D., Inc (Newport Beach, CA), Csi Medical Group (San Pedro, CA) and Huntington Dermatology Medical Group Inc (Pasadena, CA). Each 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 Shibani 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 Shibani Shah was last updated on October 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.