Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

AVNI A SHAH MD
NPI 1598007676
Ophthalmology - Glaucoma Specialist in Santa Rosa, CA

Active since March 26, 2013PECOS EnrolledAccepts Medicare Assignment
94.71/100
CMS Quality Rating
3035 CLEVELAND AVE STE 100, SANTA ROSA, CA 95403(708) 623-8200 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 2, 2024, Aug 17, 2022, Sep 5, 2019 and 2 more (5 updates tracked since 2017).

About Avni A Shah Md NPPES

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

AVNI A SHAH MD (NPI 1598007676) is an individual glaucoma specialist in Santa Rosa, California, licensed in California (A163015) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS and is a graduate of Rutgers New Jersey Medical School (2013).

NPPES Registry Identity

NPI1598007676
Entity TypeIndividualFemale
Primary Taxonomy207WX0009X
Provider Legal NameAVNI A SHAHCredential: MD
Location Address3035 CLEVELAND AVE STE 100Santa Rosa, CA 95403-2122
Mailing Address3035 Cleveland Ave Ste 100Santa Rosa, CA 95403-3037 · (707) 546-9800 · Fax (707) 899-7980
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 2013
Enumeration DateMarch 26, 2013
Last NPPES UpdateJune 17, 20265 updates tracked since enumeration
NPPES CertifiedJune 17, 2026
NPI 1598007676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmology · Glaucoma SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0009X
Licenses Licensed in CA · A163015 Licensed in MA · 269995
Definition
An ophthalmologist who specializes in the treatment of glaucoma and other disorders related to increased intraocular pressure and optic nerve damage. This specialty involves the medical and surgical treatment of these conditions.
Also ListedOphthalmologyTaxonomy 207W00000X · License 269995 (MA), A163015 (CA)
3035 CLEVELAND AVE STE 100, Santa Rosa, CA 95403

Accepted Insurance

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

Avni A Shah Md 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 ID8628390416
PECOS Enrollment IDI20190912001305
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.

Areas of Expertise CMS Part B claims 20

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
700 services672 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
615 services426 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
482 services420 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
446 services408 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
307 services252 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
240 services170 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95403 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
$142.00 typical visit price
range $63.04 – $187.01
Typical copayment $35.50 (range $15.76 – $46.75)
Most-billed visit code 99204
Established Patient
$77.94 typical visit price
range $21.02 – $153.40
Typical copayment $19.48 (range $5.25 – $38.35)
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.

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.

94.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost82.38

Referred Medical Equipment & Supplies CMS DME claims 3

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

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers31 claims31 services$66.16 avg. paid by Medicare
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2103
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers19 claims34 services$29.34 avg. paid by Medicare
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2203
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers12 claims18 services$49.72 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 11

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

Durable Medical Equipment & Medical Supplies
3035 CLEVELAND AVE STE 100
SANTA ROSA, CA 95403
Durable Medical Equipment & Medical Supplies
3035 CLEVELAND AVE STE 100
SANTA ROSA, CA 95403
Ophthalmology
3035 CLEVELAND AVE STE 100
SANTA ROSA, CA 95403
Durable Medical Equipment & Medical Supplies
3035 CLEVELAND AVE STE 100
SANTA ROSA, CA 95403
Ophthalmology
3035 CLEVELAND AVE STE 100
SANTA ROSA, CA 95403
Ophthalmology
3035 CLEVELAND AVE STE 100
SANTA ROSA, CA 95403
Ophthalmology
3035 CLEVELAND AVE STE 100
SANTA ROSA, CA 95403
Ophthalmology
3035 CLEVELAND AVE STE 100
SANTA ROSA, CA 95403

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 Avni Shah's NPI number?

The NPI number for Avni Shah is 1598007676. It was assigned to this individual provider in the NPPES registry on March 26, 2013.

Where is Avni Shah located?

Avni Shah practices at 3035 Cleveland Ave Ste 100, Santa Rosa, CA 95403. The listed phone number is (708) 623-8200.

What is Avni Shah's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Glaucoma Specialist, with taxonomy code 207WX0009X.

Is Avni Shah enrolled in Medicare?

Yes. Avni 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.

What insurance does Avni Shah accept?

Health plans from Providence Health Plan list Avni 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 Avni Shah was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 51 days 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.