TANYA SHAH MD
NPI 1598259343
Family Medicine in Kalispell, MT

Active since June 15, 2018PECOS EnrolledAccepts Medicare Assignment
310 SUNNYVIEW LN, KALISPELL, MT 59901(406) 751-5310(406) 751-3068 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 8, 2022, Mar 11, 2022, Jun 15, 2018 (3 updates tracked since 2018).

About Tanya Shah Md NPPES

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

TANYA SHAH MD (NPI 1598259343) is an individual family medicine provider in Kalispell, Montana, licensed in Oregon (MD216260) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, is affiliated with St James Healthcare, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1598259343
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameTANYA SHAHCredential: MD
Location Address310 SUNNYVIEW LNKalispell, MT 59901-3129
Mailing Address2323 Knoll Dr Ste 219Ventura, CA 93003-7307 · (805) 677-5181 · Fax (805) 677-5304
Fax(406) 751-3068
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2018
Enumeration DateJune 15, 2018
Last NPPES UpdateApril 28, 20253 updates tracked since enumeration
NPPES CertifiedApril 28, 2025
✔ NPI 1598259343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in OR · MD216260✔ Licensed in CA · A175954✔ Licensed in MT · MED-PHYS-LIC-103371
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
310 SUNNYVIEW LN, Kalispell, MT 59901

Secondary Practice Locations 2

Location 1300 Hillmont Ave Ste 101Ventura, CA 93003-1651 · Phone (805) 652-6100 · Fax (805) 652-3252
Location 2930 SW Abbey StNewport, OR 97365-4820 · Phone (541) 265-2244

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tanya 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 ID9436545076
PECOS Enrollment IDI20220406002291, I20240313003870
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 Reassignments

7

Medicare enrollment records show Tanya Shah reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Genetics
320 SUNNYVIEW LN
Kalispell, MT 59901
  • Reassigned Medicare billing, Montana enrollment
  • 483 clinicians in this Medicare group
Critical Access
209 HEALTH PARK DR
Libby, MT 59923
  • Reassigned Medicare billing, Montana enrollment
  • Medicare enrollment name: St Johns Lutheran Hospital Inc
  • 67 clinicians in this Medicare group
Internal Medicine
2827 FORT MISSOULA RD
Missoula, MT 59804
  • Reassigned Medicare billing, Montana enrollment
  • 155 clinicians in this Medicare group
Rural
1300 HOSPITAL LOOP
Belcourt, ND 58316
  • Reassigned Medicare billing, Texas enrollment
  • 193 clinicians in this Medicare group
Emergency Medicine
700 17TH ST STE 205
Modesto, CA 95354
  • Reassigned Medicare billing, California enrollment
  • 180 clinicians in this Medicare group
Community/Behavioral Health
828 W VENTURA ST, SUITE 250
Fillmore, CA 93015
  • Reassigned Medicare billing, California enrollment
  • 710 clinicians in this Medicare group
Internal Medicine
2101 N WATERMAN AVE
San Bernardino, CA 92404
  • Reassigned Medicare billing, Montana enrollment
  • 14 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.

Areas of Expertise CMS Part B claims 3

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.

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.
42 services23 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
17 services11 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St James Healthcare

Acute Care Hospitals · Butte, MT
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270017
Location400 S Clark StButte, MT 59701 · Silver Bow County
Emergency services Birthing friendly

Logan Health Medical Center

Acute Care Hospitals · Kalispell, MT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270051
Location310 Sunnyview LaneKalispell, MT 59901 · Flathead County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59901 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
$87.97 typical visit price
range $56.81 – $172.26
Typical copayment $21.99 (range $14.20 – $43.06)
Most-billed visit code 99203
Established Patient
$100.16 typical visit price
range $18.24 – $140.32
Typical copayment $25.04 (range $4.56 – $35.08)
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.

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.

Anesthesiology
310 SUNNYVIEW LN
KALISPELL, MT 59901
Internal Medicine (Hospice and Palliative Medicine)
310 SUNNYVIEW LN
KALISPELL, MT 59901
Anesthesiology
310 SUNNYVIEW LN
KALISPELL, MT 59901
Anesthesiology
310 SUNNYVIEW LN
KALISPELL, MT 59901
Anesthesiology
310 SUNNYVIEW LN
KALISPELL, MT 59901
Emergency Medicine
310 SUNNYVIEW LN
KALISPELL, MT 59901
Registered Nurse (Critical Care Medicine)
310 SUNNYVIEW LN
KALISPELL, MT 59901
Anesthesiology (Pain Medicine)
310 SUNNYVIEW LN
KALISPELL, MT 59901

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 Tanya Shah's NPI number?

The NPI number for Tanya Shah is 1598259343. It was assigned to this individual provider in the NPPES registry on June 15, 2018.

Where is Tanya Shah located?

Tanya Shah practices at 310 Sunnyview Ln, Kalispell, MT 59901. The listed phone number is (406) 751-5310.

What is Tanya Shah's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Tanya Shah enrolled in Medicare?

Yes. Tanya 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.

Which organizations bill Medicare for Tanya Shah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tanya Shah reassigns Medicare benefits to 7 organizations: Kalispell Regional Medical Center, Inc (Kalispell, MT), St. John's Lutheran Hospital, Inc. (Libby, MT), Cogent Healthcare Of Montana P C (Missoula, MT), Quentin N Burdick Comprehensive Health Care Facility (Belcourt, ND), American Specialty Physicians Group Inc (Modesto, CA) and 2 more organizations, listed in the Medicare section above. Each 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 Tanya Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tanya Shah accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP and Providence Health Plan list Tanya 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.

Is Tanya Shah affiliated with any hospitals?

According to CMS data, Tanya Shah is affiliated with St James Healthcare and Logan Health Medical Center.

When was this NPI record last updated?

The NPPES record for Tanya Shah was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.