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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: November 01, 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
Phone(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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
227 N JACKSON AVE, San Jose, CA 95116
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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

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Shaili Shah reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

County Of Santa Clara
0.1 mi
Federally Qualified Health Center (FQHC)
1993 MCKEE RD
San Jose, CA 95116
  • Reassigned Medicare billing, California enrollment
  • 2,460 clinicians in this Medicare group
NPI 1326033929 (408) 885-5000
Verity Medical Foundation
4.5 mi
Multi-Specialty
625 LINCOLN AVE
San Jose, CA 95126
  • Reassigned Medicare billing, California enrollment
  • 133 clinicians in this Medicare group
NPI 1326312067 (405) 278-3000
Permanente Medical Group Inc
8.3 mi
Internal Medicine
710 LAWRENCE EXPRESSWAY
Santa Clara, CA 95051
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1073606299 (408) 851-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

VERITY MEDICAL FOUNDATION
Internal Medicine
227 N JACKSON AVE
SAN JOSE, CA 95116
Santa Clara County (408) 278-3000
HENRY WEINSTOCK M.D.
Family Medicine
227 N JACKSON AVE
SAN JOSE, CA 95116
Santa Clara County (408) 871-3400
RUBIYA KAUSAR M.D.
Internal Medicine
227 N JACKSON AVE
SAN JOSE, CA 95116
Santa Clara County (408) 871-3400
DR. RASIK KANSARA M.D.
Internal Medicine (Gastroenterology)
227 N JACKSON AVE
SAN JOSE, CA 95116
Santa Clara County (408) 871-3400
BERNARD LENWOOD HAYMAN M.D.
Specialist
227 N JACKSON AVE
SAN JOSE, CA 95116
Santa Clara County (408) 347-2030
PHYSICIANS MEDICAL GROUP OF SAN JOSE, INC.
Non-Pharmacy Dispensing Site
227 N JACKSON AVE
SAN JOSE, CA 95116
Santa Clara County (408) 347-2060
VINCENT LIU M.D.
Internal Medicine (Pulmonary Disease)
227 N JACKSON AVE
SAN JOSE, CA 95116
Santa Clara County (408) 278-3000
OSAMA LAM M.D.
Internal Medicine
227 N JACKSON AVE
SAN JOSE, CA 95116
Santa Clara County (408) 871-3400

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.

Which organizations bill Medicare for Shaili Shah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shaili Shah reassigns Medicare benefits to 3 organizations: County Of Santa Clara (San Jose, CA), Verity Medical Foundation (San Jose, CA) and Permanente Medical Group Inc (Santa Clara, CA). 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 Shaili 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 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.