PUJA DIPAKKUMAR SHAH FNP, CMSRN
NPI 1659639144
Nurse Practitioner - Family in Santa Ana, CA

Q: What is Puja Shah's NPI number?

The NPI number for Puja Shah is 1659639144. It was assigned to this individual provider in the NPPES registry on May 2, 2012.

Q: What is Puja Shah's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Puja Shah was last updated on December 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 May 02, 2012PECOS Enrolled

1421 E 17TH ST, SANTA ANA, CA 92705(714) 922-4100 Get Directions Write a Review

NPPES record last updated: December 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Puja Dipakkumar Shah Fnp, Cmsrn NPPES

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

PUJA DIPAKKUMAR SHAH FNP, CMSRN (NPI 1659639144) is an individual family provider in Santa Ana, California, licensed in California (NP 21691) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659639144

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NamePUJA DIPAKKUMAR SHAHCredential: FNP, CMSRN

Location Address1421 E 17TH STSanta Ana, CA 92705-8505

Mailing Address1421 E 17th StSanta Ana, CA 92705-8505

Phone(714) 922-4100

Sole ProprietorYes

Enumeration DateMay 2, 2012

Last NPPES UpdateDecember 22, 2023

NPPES CertifiedJune 21, 2022

✔ NPI 1659639144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · NP 21691

Also ListedRegistered Nurse · General PracticeTaxonomy 163WG0000X · License RN 700630 (CA)

1421 E 17TH ST, Santa Ana, CA 92705

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Puja Dipakkumar Shah Fnp, Cmsrn 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 92705 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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 8

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

PLANNED PARENTHOOD/ORANGE AND SAN BERNARDINO COUNTIES, INC.

Clinic/Center