DR. SHAILI SHAH M.D.
NPI 1831510080
Family Medicine in San Jose, CA

Active since December 13, 2013PECOS EnrolledAccepts Medicare Assignment
83.56/100
CMS Quality Rating
227 N JACKSON AVE, SAN JOSE, CA 95116(408) 871-3400 Get Directions Write a Review

NPPES record last updated: December 4, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 4, 2020, Feb 11, 2020 (2 updates tracked since 2020).

About Dr. Shaili Shah M.d. NPPES

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

DR. SHAILI SHAH M.D. (NPI 1831510080) is an individual family medicine provider in San Jose, California, licensed in California (A143292) and active in the NPI registry since December 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1831510080
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SHAILI SHAHCredential: M.D.
Location Address227 N JACKSON AVESan Jose, CA 95116-1603
Mailing Address227 N Jackson AveSan Jose, CA 95116-1603 · (408) 871-3400
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateDecember 13, 2013
Last NPPES UpdateDecember 4, 20202 updates tracked since enumeration
NPPES CertifiedDecember 4, 2020
NPI 1831510080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A143292
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.
227 N JACKSON AVE, San Jose, CA 95116

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Shaili 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 ID2163701228
PECOS Enrollment IDI20161111001107
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 95116 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
$106.47 typical visit price
range $70.37 – $206.04
Typical copayment $26.61 (range $17.59 – $51.51)
Most-billed visit code 99203
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
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.

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.

83.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.75
Promoting Interoperability100
Improvement Activities40
Cost61.45

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.

Internal Medicine
227 N JACKSON AVE
SAN JOSE, CA 95116
Family Medicine
227 N JACKSON AVE
SAN JOSE, CA 95116
Internal Medicine
227 N JACKSON AVE
SAN JOSE, CA 95116
Internal Medicine (Gastroenterology)
227 N JACKSON AVE
SAN JOSE, CA 95116
Specialist
227 N JACKSON AVE
SAN JOSE, CA 95116
Non-Pharmacy Dispensing Site
227 N JACKSON AVE
SAN JOSE, CA 95116
Internal Medicine (Pulmonary Disease)
227 N JACKSON AVE
SAN JOSE, CA 95116
Internal Medicine
227 N JACKSON AVE
SAN JOSE, CA 95116

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 Shaili Shah's NPI number?

The NPI number for Shaili Shah is 1831510080. It was assigned to this individual provider in the NPPES registry on December 13, 2013.

Where is Shaili Shah located?

Shaili Shah practices at 227 N Jackson Ave, San Jose, CA 95116. The listed phone number is (408) 871-3400.

What is Shaili Shah's specialty?

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

Is Shaili Shah enrolled in Medicare?

Yes. Shaili 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.

When was this NPI record last updated?

The NPPES record for Shaili Shah was last updated on December 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.