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DR. MRUGESH C SHAH M.D.
NPI 1720208499
Pathology - Clinical Pathology/Laboratory Medicine in Thousand Oaks, CA

Active since April 26, 2007PECOS EnrolledAccepts Medicare Assignment
87.18/100
CMS Quality Rating
215 W JANSS RD, PATHOLOGY DEPARTMENT, THOUSAND OAKS, CA 91360(805) 373-8582 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Mrugesh C Shah M.d. NPPES

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

DR. MRUGESH C SHAH M.D. (NPI 1720208499) is an individual clinical pathology/laboratory medicine provider in Thousand Oaks, California, licensed in California (A91950) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1720208499
Entity TypeIndividualMale
Primary Taxonomy207ZP0105X
Provider Legal NameDR. MRUGESH C SHAHCredential: M.D.
Location Address215 W JANSS RD, PATHOLOGY DEPARTMENTThousand Oaks, CA 91360-1847
Mailing Address2190 Lynn Rd, Suite 220Thousand Oaks, CA 91360-1980 · (805) 495-8050 · Fax (805) 496-2160
Phone(805) 373-8582
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateApril 26, 2007
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1720208499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · Clinical Pathology/Laboratory MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0105X
License✔ Licensed in CA · A91950
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Also ListedPathology · Anatomic Pathology & Clinical PathologyTaxonomy 207ZP0102X · License A91950 (CA)

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. Mrugesh C Shah M.d. 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 ID5890893176
PECOS Enrollment IDI20070611000258
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 Reassignment

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

County Of Ventura
Community/Behavioral Health
2500 S C ST STE D
Oxnard, CA 93033
  • Reassigned Medicare billing, California enrollment
  • 710 clinicians in this Medicare group
NPI 1003509852 (805) 385-9460

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 7

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
186 services170 patients
Special stained specimen slides to identify organisms including interpretation and report 88312
This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.
42 services41 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
26 services26 patients
Pathology examination of tissue using a microscope, moderately low complexity 88304
A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
24 services23 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
18 services14 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91360 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
$140.72 typical visit price
range $62.32 – $185.36
Typical copayment $35.18 (range $15.58 – $46.34)
Most-billed visit code 99204
Established Patient
$108.74 typical visit price
range $20.68 – $151.85
Typical copayment $27.18 (range $5.17 – $37.96)
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.

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.

87.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.09
Promoting Interoperability100
Improvement Activities40
Cost56.53

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.

LOS ROBLES RADIOLOGIC ASSOCIATES
Radiology (Diagnostic Radiology)
215 W JANSS RD
THOUSAND OAKS, CA 91360
Ventura County (054) 972-7278
DR. NUSAYBA MANAL AHMED MD
Internal Medicine
215 W JANSS RD
THOUSAND OAKS, CA 91360
Ventura County (805) 852-9229
DANIELLE ASHLEY SHERMAN
Physician Assistant
215 W JANSS RD
THOUSAND OAKS, CA 91360
Ventura County (805) 497-2727
MARIA DUBOVITSKAYA MD
Student in an Organized Health Care Education/Training Program
215 W JANSS RD
THOUSAND OAKS, CA 91360
Ventura County (805) 852-9229
SUKHWINDER SINGH DHILLON
Student in an Organized Health Care Education/Training Program
215 W JANSS RD
THOUSAND OAKS, CA 91360
Ventura County (805) 852-9229
ALEEN SISAKIAN MD
Student in an Organized Health Care Education/Training Program
215 W JANSS RD
THOUSAND OAKS, CA 91360
Ventura County (805) 852-9229
YASH PATIL DO
Student in an Organized Health Care Education/Training Program
215 W JANSS RD
THOUSAND OAKS, CA 91360
Ventura County (805) 852-9229
DR. ERNA M. KWONG M.D.
Anesthesiology
215 W JANSS RD
THOUSAND OAKS, CA 91360
Ventura County (805) 497-2727

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 Mrugesh Shah's NPI number?

The NPI number for Mrugesh Shah is 1720208499. It was assigned to this individual provider in the NPPES registry on April 26, 2007.

Where is Mrugesh Shah located?

Mrugesh Shah practices at 215 W Janss Rd Pathology Department, Thousand Oaks, CA 91360. The listed phone number is (805) 373-8582.

What is Mrugesh Shah's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Clinical Pathology/Laboratory Medicine, with taxonomy code 207ZP0105X.

Is Mrugesh Shah enrolled in Medicare?

Yes. Mrugesh 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 Mrugesh Shah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mrugesh Shah reassigns Medicare benefits to County Of Ventura (Oxnard, 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 Mrugesh 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 Mrugesh Shah was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.