DR. PRATIK SHAH D.O.
NPI 1700236973
Emergency Medicine in Baldwin Park, CA

Active since June 17, 2016PECOS EnrolledAccepts Medicare Assignment
1011 BALDWIN PARK BLVD, BALDWIN PARK, CA 91706(626) 851-6484 Get Directions Write a Review

NPPES record last updated: January 20, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 20, 2022, Nov 29, 2021, May 9, 2021 and 2 more (5 updates tracked since 2016).

About Dr. Pratik Shah D.o. NPPES

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

DR. PRATIK SHAH D.O. (NPI 1700236973) is an individual emergency medicine provider in Baldwin Park, California, licensed in California (20A18674) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Kansas City University Of Med & Biosciences, College Of Osteo Med (2016).

NPPES Registry Identity

NPI1700236973
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. PRATIK SHAHCredential: D.O.
Location Address1011 BALDWIN PARK BLVDBaldwin Park, CA 91706-5806
Mailing Address10636 Wilshire Blvd Apt 504Los Angeles, CA 90024-7306 · (847) 571-3866
Sole ProprietorNo
Medical School CMSKansas City University Of Med & Biosciences, College Of Osteo MedGraduated 2016
Enumeration DateJune 17, 2016
Last NPPES UpdateJanuary 20, 20225 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2022
✔ NPI 1700236973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in CA · 20A18674✔ Licensed in MI · 5101024600✔ Licensed in OH · 34.014355
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1011 BALDWIN PARK BLVD, Baldwin Park, CA 91706

Secondary Practice Locations 2

Location 1555 E Hardy StInglewood, CA 90301-4011 · Phone (310) 673-4660
Location 26041 Cadillac AveLos Angeles, CA 90034-1702 · Phone (323) 857-2000

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

Dr. Pratik Shah D.o. 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 ID3476846197
PECOS Enrollment IDI20210518001210, I20240823002580
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

4

Medicare enrollment records show Pratik Shah reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Health Maintenance Organization
1011 BALDWIN PARK BLVD
Baldwin Park, CA 91706
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
Emergency Medicine
300 W HUNTINGTON DR
Arcadia, CA 91007
  • Reassigned Medicare billing, California enrollment
  • 71 clinicians in this Medicare group
Emergency Medicine
555 E HARDY ST
Inglewood, CA 90301
  • Reassigned Medicare billing, California enrollment
  • 111 clinicians in this Medicare group
Health Maintenance Organization
3288 MOANALUA RD
Honolulu, HI 96819
  • Reassigned Medicare billing, Hawaii enrollment
  • 1,187 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

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91706 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 20

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

Hospitalist
1011 BALDWIN PARK BLVD, 4 EAST HOSPITALIST OFFICE
BALDWIN PARK, CA 91706
Respiratory Therapist, Registered
1011 BALDWIN PARK BLVD
BALDWIN PARK, CA 91706
Family Medicine
1011 BALDWIN PARK BLVD
BALDWIN PARK, CA 91706
Emergency Medicine
1011 BALDWIN PARK BLVD
BALDWIN PARK, CA 91706
Pediatrics
1011 BALDWIN PARK BLVD
BALDWIN PARK, CA 91706
Family Medicine
1011 BALDWIN PARK BLVD
BALDWIN PARK, CA 91706
Physical Medicine & Rehabilitation
1011 BALDWIN PARK BLVD
BALDWIN PARK, CA 91706
Physician Assistant
1011 BALDWIN PARK BLVD
BALDWIN PARK, CA 91706

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 Pratik Shah's NPI number?

The NPI number for Pratik Shah is 1700236973. It was assigned to this individual provider in the NPPES registry on June 17, 2016.

Where is Pratik Shah located?

Pratik Shah practices at 1011 Baldwin Park Blvd, Baldwin Park, CA 91706. The listed phone number is (626) 851-6484.

What is Pratik Shah's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Pratik Shah enrolled in Medicare?

Yes. Pratik 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 Pratik Shah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pratik Shah reassigns Medicare benefits to 4 organizations: Southern California Permanente Medical Group (Baldwin Park, CA), Michael S. Agron, M.D., Inc. (Arcadia, CA), Centinela Freeman Emergency Medical Associates, Inc. (Inglewood, CA) and Hawaii Permanente Medical Group Inc (Honolulu, HI). 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 Pratik 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 Pratik Shah was last updated on January 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.