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DR. MITA H SHAH MD
NPI 1417069683
Pediatrics - Neonatal-Perinatal Medicine in West Covina, CA

Active since August 31, 2006PECOS Enrolled
1135 S SUNSET AVE, WEST COVINA, CA 91790(626) 813-3716 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Mita H Shah Md NPPES

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

DR. MITA H SHAH MD (NPI 1417069683) is an individual neonatal-perinatal medicine provider in West Covina, California, licensed in California (A49758) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417069683
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameDR. MITA H SHAHCredential: MD
Location Address1135 S SUNSET AVEWest Covina, CA 91790-3937
Mailing Address4031 E Regency AveOrange, CA 92867-2133 · (714) 282-1514 · Fax (714) 282-1514
Phone(626) 813-3716
Sole ProprietorNo
Enumeration DateAugust 31, 2006
Last NPPES UpdateDecember 1, 2021
✔ NPI 1417069683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in CA · A49758
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
1135 S SUNSET AVE, West Covina, CA 91790
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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 (PECOS)

Dr. Mita H 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 Mita Shah reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Faculty Physicians And Surgeons Of Llusm
12 mi
Pediatrics
2140 GRAND AVE, STE 120
Chino Hills, CA 91709
  • Reassigned Medicare billing, California enrollment
  • 2,584 clinicians in this Medicare group
NPI 1811205131 (909) 558-3111

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

GABRIEL BAILEY DO
Family Medicine
1135 S SUNSET AVE
WEST COVINA, CA 91790
Los Angeles County (626) 732-8390
WILDON LIN MD, INC
Clinic/Center
1135 S SUNSET AVE, SUITE 307
WEST COVINA, CA 91790
Los Angeles County (626) 962-1111
SAN GABRIEL VALLEY PERINATAL MEDICAL GROUP, INC
Obstetrics & Gynecology (Maternal & Fetal Medicine)
1135 S SUNSET AVE, STE 402
WEST COVINA, CA 91790
Los Angeles County (626) 337-4425
DR. PERPETUA ALEGRADO LAWAS-ALEJO
Pediatrics (Neonatal-Perinatal Medicine)
1135 S SUNSET AVE
WEST COVINA, CA 91790
Los Angeles County (626) 813-3716
HOOSHANG DEAH FARSHIDI MD
Obstetrics & Gynecology
1135 S SUNSET AVE, SUITE #303
W COVINA, CA 91790
Los Angeles County (626) 856-3686
BILL W. TANG, MD A MED CORP
Clinic/Center (Medical Specialty)
1135 S SUNSET AVE, #206
WEST COVINA, CA 91790
Los Angeles County (626) 338-3788
PACIFIC SLEEP MEDICINE, A MEDICAL CORP
Clinic/Center (Sleep Disorder Diagnostic)
1135 S SUNSET AVE, SUITE 307
WEST COVINA, CA 91790
Los Angeles County (626) 480-0033
DAVID E ZINKE M D INC
Specialist
1135 S SUNSET AVE, SUITE 315
WEST COVINA, CA 91790
Los Angeles County (626) 814-4721

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 Mita Shah's NPI number?

The NPI number for Mita Shah is 1417069683. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Mita Shah located?

Mita Shah practices at 1135 S Sunset Ave, West Covina, CA 91790. The listed phone number is (626) 813-3716.

What is Mita Shah's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Mita Shah enrolled in Medicare?

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

Which organization bills Medicare for Mita Shah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mita Shah reassigns Medicare benefits to Faculty Physicians And Surgeons Of Llusm (Chino Hills, 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 Mita 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 Mita Shah was last updated on December 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.