POONAM SHAH DDS
NPI 1417331497
Dentist - General Practice in San Antonio, TX

Q: What is Poonam Shah's NPI number?

The NPI number for Poonam Shah is 1417331497. It was assigned to this individual provider in the NPPES registry on July 19, 2015.

Q: What is Poonam Shah's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Poonam Shah was last updated on February 24, 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.

Active since July 19, 2015PECOS Enrolled

11600 BANDERA RD STE 126, SAN ANTONIO, TX 78250(951) 316-9574 Get Directions Write a Review

NPPES record last updated: February 24, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 24, 2020, May 29, 2019 (2 updates tracked since 2019).

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About Poonam Shah Dds NPPES

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

POONAM SHAH DDS (NPI 1417331497) is an individual general practice provider in San Antonio, Texas, licensed in California (64733) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417331497

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NamePOONAM SHAHCredential: DDS

Location Address11600 BANDERA RD STE 126San Antonio, TX 78250-6806

Mailing Address571 Ruth CirCorona, CA 92879-8088 · (951) 316-9574

Phone(951) 316-9574

Sole ProprietorNo

Enumeration DateJuly 19, 2015

Last NPPES UpdateFebruary 24, 20202 updates tracked since enumeration

✔ NPI 1417331497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 64733

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

11600 BANDERA RD STE 126, San Antonio, TX 78250

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Poonam Shah Dds 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78250 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

HELOTES PEDIATRIC DENTISTRY, PLLC

Dentist (Oral and Maxillofacial Surgery)

11600 BANDERA RD STE 126
SAN ANTONIO, TX 78250

Bexar County (210) 256-8581

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 Poonam Shah's NPI number?

The NPI number for Poonam Shah is 1417331497. It was assigned to this individual provider in the NPPES registry on July 19, 2015.

Where is Poonam Shah located?

Poonam Shah practices at 11600 Bandera Rd Ste 126, San Antonio, TX 78250. The listed phone number is (951) 316-9574.

What is Poonam Shah's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Poonam Shah enrolled in Medicare?

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

What insurance does Poonam Shah accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental PPO and 9 other insurers list Poonam Shah as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Poonam Shah was last updated on February 24, 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.