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DR. HEMA ASHVINBHAI SHAH
NPI 1366885733
Psychiatry & Neurology - Child & Adolescent Psychiatry in San Diego, CA

Active since April 16, 2013PECOS EnrolledAccepts Medicare Assignment
91.04/100
CMS Quality Rating
3665 KEARNY VILLA RD, SUIT 101, SAN DIEGO, CA 92123(864) 901-1500 Get Directions Write a Review

NPPES record last updated: August 18, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Hema Ashvinbhai Shah NPPES

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

DR. HEMA ASHVINBHAI SHAH (NPI 1366885733) is an individual child & adolescent psychiatry provider in San Diego, California, licensed in California (A141590) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1366885733
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameDR. HEMA ASHVINBHAI SHAH
Location Address3665 KEARNY VILLA RD, SUIT 101San Diego, CA 92123-1953
Mailing Address3830 Valley Centre Dr # 705-113San Diego, CA 92130-3320 · (864) 901-1500
Phone(864) 901-1500
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateApril 16, 2013
Last NPPES UpdateAugust 18, 2016
✔ NPI 1366885733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in CA · A141590
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3665 KEARNY VILLA RD, San Diego, CA 92123
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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

Dr. Hema Ashvinbhai 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 ID4981830692
PECOS Enrollment IDI20180129002678
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

3

Medicare enrollment records show Hema Shah reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ocean Psychiatry Inc
426 mi
Psychiatry
39210 STATE ST STE 100
Fremont, CA 94538
  • Reassigned Medicare billing, California enrollment
  • 31 clinicians in this Medicare group
NPI 1396306338 (510) 451-2000
Alameda Health System
427 mi
Federally Qualified Health Center (FQHC)
6066 CIVIC TERRACE AVE
Newark, CA 94560
  • Reassigned Medicare billing, California enrollment
  • 900 clinicians in this Medicare group
NPI 1497956288 (510) 505-1600
Comprehensive Psychiatric Services, A Medical Group
449 mi
Psychiatry
3100 OAK ROAD, SUITE 270
Walnut Creek, CA 94597
  • Reassigned Medicare billing, California enrollment
  • 149 clinicians in this Medicare group
NPI 1184785834 (925) 944-9711

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 7

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.

Group psychotherapy 90853
Group psychotherapy involves individuals discussing their issues in a group setting, led by a professional therapist. It provides a supportive environment where members can learn from each other's experiences, gain different perspectives, and develop new ways to handle challenges.
256 services35 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.
168 services61 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
156 services52 patients
Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
92 services33 patients
Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
73 services25 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.
37 services27 patients

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.

91.04/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.13
Promoting Interoperability100
Improvement Activities40
Cost64.1

Other Providers at the Same Location NPPES 20

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

MARGARET KNIGHT
Marriage & Family Therapist
3665 KEARNY VILLA RD
SAN DIEGO, CA 92123
San Diego County (858) 576-1700
MS. GENA M SINGER MHRS
Case Manager/Care Coordinator
3665 KEARNY VILLA RD, SUITE 165
SAN DIEGO, CA 92123
San Diego County (619) 507-7438
MS. AMBER MULLANEY COGO BA, NBC-HWC
Day Training/Habilitation Specialist
3665 KEARNY VILLA RD
SAN DIEGO, CA 92123
San Diego County (858) 966-1700
DR. KATHERINE NGUYEN WILLIAMS PH.D.
Psychologist
3665 KEARNY VILLA RD, SUITE 101
SAN DIEGO, CA 92123
San Diego County (858) 966-5832
MARYAM JALO
Social Worker (Clinical)
3665 KEARNY VILLA RD
SAN DIEGO, CA 92123
San Diego County (858) 576-1700
DR. COLBY ELIZABETH CHLEBOWSKI PH.D.
Student in an Organized Health Care Education/Training Program
3665 KEARNY VILLA RD
SAN DIEGO, CA 92123
San Diego County (858) 966-7703
PAGE NAOMI BEUKELMAN AU.D.
Audiologist
3665 KEARNY VILLA RD
SAN DIEGO, CA 92123
San Diego County (858) 966-8100
NICHOLAS PORTUGAL AUD
Audiologist-Hearing Aid Fitter
3665 KEARNY VILLA RD
SAN DIEGO, CA 92123
San Diego County (858) 966-7803

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 Hema Shah's NPI number?

The NPI number for Hema Shah is 1366885733. It was assigned to this individual provider in the NPPES registry on April 16, 2013.

Where is Hema Shah located?

Hema Shah practices at 3665 Kearny Villa Rd Suit 101, San Diego, CA 92123. The listed phone number is (864) 901-1500.

What is Hema Shah's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Hema Shah enrolled in Medicare?

Yes. Hema 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 Hema Shah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hema Shah reassigns Medicare benefits to 3 organizations: Ocean Psychiatry Inc (Fremont, CA), Alameda Health System (Newark, CA) and Comprehensive Psychiatric Services, A Medical Group (Walnut Creek, 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 Hema 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 Hema Shah was last updated on August 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.