MANSI R SHAH M.D.
NPI 1831552306
Family Medicine in Santa Rosa, CA

Active since April 01, 2016PECOS Enrolled
60.05/100
CMS Quality Rating
3569 ROUND BARN CIR, SANTA ROSA, CA 95403(707) 303-3600 Get Directions Write a Review

NPPES record last updated: June 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 20, 2023, May 19, 2021, May 14, 2021 and 1 more (4 updates tracked since 2016).

About Mansi R Shah M.d. NPPES

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

MANSI R SHAH M.D. (NPI 1831552306) is an individual family medicine provider in Santa Rosa, California, licensed in California (A161849) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831552306
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMANSI R SHAHCredential: M.D.
Location Address3569 ROUND BARN CIRSanta Rosa, CA 95403-5781
Mailing Address3569 Round Barn CirSanta Rosa, CA 95403-5781 · (707) 303-3600
Sole ProprietorNo
Enumeration DateApril 1, 2016
Last NPPES UpdateJune 20, 20234 updates tracked since enumeration
NPPES CertifiedJune 20, 2023
NPI 1831552306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in CA · A161849 Licensed in KS · 04-44022 Licensed in WA · MD61067297
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.
3569 ROUND BARN CIR, Santa Rosa, CA 95403

Other Identifiers 1

Medicaid1831552306WA

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mansi R Shah M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 95403 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
$96.16 typical visit price
range $63.04 – $187.01
Typical copayment $24.04 (range $15.76 – $46.75)
Most-billed visit code 99203
Established Patient
$109.88 typical visit price
range $21.02 – $153.40
Typical copayment $27.47 (range $5.25 – $38.35)
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.

60.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality36.91
Promoting Interoperability100
Improvement Activities20
Cost54.92

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
1 supplier12 claims12 services$12.57 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Family Medicine
3569 ROUND BARN CIR
SANTA ROSA, CA 95403
Family Medicine
3569 ROUND BARN CIR
SANTA ROSA, CA 95403
Nurse Practitioner
3569 ROUND BARN CIR
SANTA ROSA, CA 95403
Nurse Practitioner (Psychiatric/Mental Health)
3569 ROUND BARN CIR
SANTA ROSA, CA 95403
Family Medicine
3569 ROUND BARN CIR, SUITE 200
SANTA ROSA, CA 95403
Family Medicine
3569 ROUND BARN CIR
SANTA ROSA, CA 95403
Family Medicine
3569 ROUND BARN CIR
SANTA ROSA, CA 95403
Family Medicine
3569 ROUND BARN CIR
SANTA ROSA, CA 95403

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 Mansi Shah's NPI number?

The NPI number for Mansi Shah is 1831552306. It was assigned to this individual provider in the NPPES registry on April 1, 2016.

Where is Mansi Shah located?

Mansi Shah practices at 3569 Round Barn Cir, Santa Rosa, CA 95403. The listed phone number is (707) 303-3600.

What is Mansi Shah's specialty?

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

Is Mansi Shah enrolled in Medicare?

Yes. Mansi Shah is registered in the Medicare PECOS enrollment system.

What insurance does Mansi Shah accept?

Health plans from Anthem Blue Cross and Blue Shield list Mansi Shah as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mansi Shah was last updated on June 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.