DR. PRATIK BHARAT SHAH MD
NPI 1386964096
Internal Medicine - Nephrology in Mather, CA

Active since June 03, 2010PECOS Enrolled
10535 HOSPITAL WAY, MATHER, CA 95655(916) 843-2743 Get Directions Write a Review

NPPES record last updated: January 23, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 23, 2020, Jul 17, 2017 (2 updates tracked since 2017).

About Dr. Pratik Bharat Shah Md NPPES

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

DR. PRATIK BHARAT SHAH MD (NPI 1386964096) is an individual nephrology provider in Mather, California, licensed in California (A164944) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1386964096
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. PRATIK BHARAT SHAHCredential: MD
Location Address10535 HOSPITAL WAYMather, CA 95655-4200
Mailing Address326 I StDavis, CA 95616-4215 · (201) 650-6377
Sole ProprietorNo
Enumeration DateJune 3, 2010
Last NPPES UpdateJanuary 23, 20202 updates tracked since enumeration
✔ NPI 1386964096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses✔ Licensed in CA · A164944✔ Licensed in IL · 036.143009
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal MedicineTaxonomy 207R00000X · License A164944 (CA), 036.143009 (IL)
10535 HOSPITAL WAY, Mather, CA 95655

Secondary Practice Location 1

Location 15841 S Maryland Ave # Mc5100Chicago, IL 60637-1447 · Phone (773) 702-1041 · Fax (773) 702-5818

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Pratik Bharat Shah Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Pratik Shah reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical Child & Adolescent
2825 50TH ST
Sacramento, CA 95817
  • Reassigned Medicare billing, California enrollment
  • 2,570 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 95655 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
$137.20 typical visit price
range $60.44 – $180.85
Typical copayment $34.30 (range $15.11 – $45.21)
Most-billed visit code 99204
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

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
1 supplier11 claims11 services$198.65 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 20

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

Pharmacist
10535 HOSPITAL WAY
MATHER, CA 95655
Student in an Organized Health Care Education/Training Program
10535 HOSPITAL WAY
MATHER, CA 95655
Pharmacist
10535 HOSPITAL WAY
MATHER, CA 95655
Pathology (Anatomic Pathology & Clinical Pathology)
10535 HOSPITAL WAY, DEPT. OF VA SACRAMENTO MEDICAL CENTER
MATHER, CA 95655
Psychiatry & Neurology (Psychiatry)
10535 HOSPITAL WAY
MATHER, CA 95655
Dietitian, Registered
10535 HOSPITAL WAY
MATHER, CA 95655
Marriage & Family Therapist
10535 HOSPITAL WAY
MATHER, CA 95655
Psychologist
10535 HOSPITAL WAY
MATHER, CA 95655

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 Pratik Shah's NPI number?

The NPI number for Pratik Shah is 1386964096. It was assigned to this individual provider in the NPPES registry on June 3, 2010.

Where is Pratik Shah located?

Pratik Shah practices at 10535 Hospital Way, Mather, CA 95655. The listed phone number is (916) 843-2743.

What is Pratik Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Pratik Shah enrolled in Medicare?

Yes. Pratik Shah is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Pratik Shah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pratik Shah reassigns Medicare benefits to Regents Of The Univ Of Ca (Sacramento, 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 Pratik 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 Pratik Shah was last updated on January 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.