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ANAL A SHAH DPT
NPI 1669920203
Physical Therapist - Orthopedic in Santa Rosa, CA

Active since September 12, 2016Accepts Medicare Assignment
220 CONCOURSE BLVD, SANTA ROSA, CA 95403(844) 527-7369(844) 847-4943 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 1, 2021, Oct 22, 2019, Jun 12, 2017 and 1 more (4 updates tracked since 2016).

About Anal A Shah Dpt NPPES

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

ANAL A SHAH DPT (NPI 1669920203) is an individual orthopedic provider in Santa Rosa, California, licensed in California (296581) and active in the NPI registry since September 2016. She is a graduate of Other (2016).

NPPES Registry Identity

NPI1669920203
Entity TypeIndividualFemale
Primary Taxonomy2251X0800X
Provider Legal NameANAL A SHAHCredential: DPT
Location Address220 CONCOURSE BLVDSanta Rosa, CA 95403-8210
Mailing Address220 Concourse BlvdSanta Rosa, CA 95403-8210 · (844) 527-7369 · Fax (844) 847-4943
Phone(844) 527-7369
Fax(844) 847-4943
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 12, 2016
Last NPPES UpdateOctober 21, 20254 updates tracked since enumeration
NPPES CertifiedOctober 21, 2025
✔ NPI 1669920203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in CA · 296581
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
Also ListedPhysical TherapistTaxonomy 225100000X · License 296581 (CA)
Also ListedPhysical Therapist · GeriatricsTaxonomy 2251G0304X · License 296581 (CA)
220 CONCOURSE BLVD, Santa Rosa, CA 95403
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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 and accepts Medicare assignment

Anal A Shah Dpt 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 ID8921378183
PECOS Enrollment IDI20251209003401

Medicare Billing Reassignment

Medicare enrollment records show Anal Shah reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Evolve Restorative Center
Same address
Interventional Pain Medicine
220 CONCOURSE BLVD
Santa Rosa, CA 95403
  • Reassigned Medicare billing, California enrollment
  • 9 clinicians in this Medicare group
NPI 1215437249 (844) 527-7369

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 10

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

JULIE BARLOW ACNP-BC
Nurse Practitioner (Acute Care)
220 CONCOURSE BLVD
SANTA ROSA, CA 95403
Sonoma County (844) 527-7369
JASON EDWARD POPE MD
Anesthesiology (Pain Medicine)
220 CONCOURSE BLVD
SANTA ROSA, CA 95403
Sonoma County (844) 527-7369
EVOLVE RESTORATIVE CENTER
Pain Medicine (Interventional Pain Medicine)
220 CONCOURSE BLVD
SANTA ROSA, CA 95403
Sonoma County (844) 527-7369
HARJOT SINGH BHANDAL MD
Pain Medicine (Interventional Pain Medicine)
220 CONCOURSE BLVD
SANTA ROSA, CA 95403
Sonoma County (844) 527-7369
JEREMY WAYNE FULLER NP-C
Nurse Practitioner (Family)
220 CONCOURSE BLVD
SANTA ROSA, CA 95403
Sonoma County (844) 527-7369
RAMNEEK DHILLON MD, MSC
Anesthesiology (Pain Medicine)
220 CONCOURSE BLVD
SANTA ROSA, CA 95403
Sonoma County (844) 527-7369
ALYSON MUSETTI
Behavior Analyst
220 CONCOURSE BLVD
SANTA ROSA, CA 95403
Sonoma County (707) 529-6142
CAROLINE SUZANNE BARICHIEVICH MS, PT
Physical Therapist
220 CONCOURSE BLVD
SANTA ROSA, CA 95403
Sonoma County (844) 527-7369

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 Anal Shah's NPI number?

The NPI number for Anal Shah is 1669920203. It was assigned to this individual provider in the NPPES registry on September 12, 2016.

Where is Anal Shah located?

Anal Shah practices at 220 Concourse Blvd, Santa Rosa, CA 95403. The listed phone number is (844) 527-7369.

What is Anal Shah's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Is Anal Shah enrolled in Medicare?

Yes. Anal 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 organization bills Medicare for Anal Shah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anal Shah reassigns Medicare benefits to Evolve Restorative Center (Santa Rosa, 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 Anal 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 Anal Shah was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.