Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. JAYKUMAR H SHAH M.D.
NPI 1376514661
Internal Medicine in Arcadia, CA

Active since January 27, 2006PECOS EnrolledCLIA 05D0943253 · Waiver
83.15/100
CMS Quality Rating
623 W DUARTE RD, # 7, ARCADIA, CA 91007(626) 446-4404(626) 446-0599 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jaykumar H Shah M.d. NPPES

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

DR. JAYKUMAR H SHAH M.D. (NPI 1376514661) is an individual internal medicine provider in Arcadia, California, licensed in California (A42091) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through March 23, 2028, and is a graduate of Other (1980).

NPPES Registry Identity

NPI1376514661
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JAYKUMAR H SHAHCredential: M.D.
Location Address623 W DUARTE RD, # 7Arcadia, CA 91007-7330
Mailing Address623 W Duarte Rd, #7Arcadia, CA 91007-7350 · (626) 446-4404 · Fax (626) 446-0599
Fax(626) 446-0599
Sole ProprietorNo
Medical School CMSOtherGraduated 1980
Enumeration DateJanuary 27, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1376514661 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 · A42091
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.

623 W DUARTE RD, Arcadia, CA 91007

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

Dr. Jaykumar H 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 ID840482402
PECOS Enrollment IDI20101014000542
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0943253

Jaykumar Shah MD · Arcadia, CA
Active · expires Mar 23, 2028
CLIA Number05D0943253
Laboratory TypePhysician Office
Certificate Effective DateMarch 24, 2026
Certificate Expiration DateMarch 23, 2028
Laboratory DirectorJaykumar H. Shah
Laboratory Phone(626) 446-4404
Laboratory LocationJaykumar Shah MD623 W Duarte Road Suite 7, Arcadia, CA 91007
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 17

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 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.
1,461 services435 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
701 services64 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
319 services319 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
239 services239 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
231 services231 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.
202 services157 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91007 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.

83.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40
Cost36.93

Reported Quality Measures

Advance Care Plan
100%1,095 patients5/55-star benchmark: 100%
Atrial Fibrillation and Atrial Flutter: Chronic Anticoagulation Therapy
100%46 patients5/55-star benchmark: 100%
Controlling High Blood Pressure
95%615 patients4/55-star benchmark: 98%
Coronary Artery Disease (CAD): Antiplatelet Therapy
100%35 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
100%2,265 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
100%3,775 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 12

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
30 suppliers123 claims271 services$5.73 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
14 suppliers28 claims32 services$0.91 avg. paid by Medicare
Tape, waterproof, per 18 square inches A4452
DME-Medical/Surgical Supplies · category DA000N
3 suppliers14 claims2,360 services$0.37 avg. paid by Medicare
Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6203
DME-Medical/Surgical Supplies · category DA023N
2 suppliers14 claims218 services$3.08 avg. paid by Medicare
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6212
DME-Medical/Surgical Supplies · category DA023N
2 suppliers11 claims195 services$9.42 avg. paid by Medicare
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard A6446
DME-Medical/Surgical Supplies · category DA023N
3 suppliers17 claims2,214 services$0.37 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 9

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

Pediatrics
623 W DUARTE RD, SUITE 2
ARCADIA, CA 91007
Dermatology
623 W DUARTE RD, SUITE 2
ARCADIA, CA 91007
Acupuncturist
623 W DUARTE RD, 2A
ARCADIA, CA 91007
Acupuncturist
623 W DUARTE RD, # 2A
ARCADIA, CA 91007
Specialist
623 W DUARTE RD, SUITE 4
ARCADIA, CA 91007
Chiropractor
623 W DUARTE RD, SUITE 5
ARCADIA, CA 91007
Clinic/Center (Primary Care)
623 W DUARTE RD, #7
ARCADIA, CA 91007
Acupuncturist
623 W DUARTE RD, # 2A
ARCADIA, CA 91007

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 Jaykumar Shah's NPI number?

The NPI number for Jaykumar Shah is 1376514661. It was assigned to this individual provider in the NPPES registry on January 27, 2006.

Where is Jaykumar Shah located?

Jaykumar Shah practices at 623 W Duarte Rd # 7, Arcadia, CA 91007. The listed phone number is (626) 446-4404.

What is Jaykumar Shah's specialty?

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

Is Jaykumar Shah enrolled in Medicare?

Yes. Jaykumar 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.

Does Jaykumar Shah hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0943253) is associated with this NPI, valid through March 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Jaykumar Shah was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.