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

Q: 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.

Q: What is Mansi Shah's specialty?

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

Q: 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.

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: October 18, 2026.

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

On this page

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

Phone(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

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Other Identifiers 1

Medicaid1831552306WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Mansi Shah reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Santa Rosa Community Health Centers

Same address

Federally Qualified Health Center (FQHC)

3569 ROUND BARN CIRCLE
Santa Rosa, CA 95403

Reassigned Medicare billing, California enrollment
215 clinicians in this Medicare group

NPI 1578631172 (707) 303-3600

County Of Santa Clara

79 mi

Clinic/Center

2741 MIDDLEFIELD RD
Palo Alto, CA 94306

Reassigned Medicare billing, California enrollment
2,460 clinicians in this Medicare group

NPI 1285228080 (408) 885-5000

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 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

Quality

36.91

Promoting Interoperability

100

Improvement Activities

Cost

54.92

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.

DR. LYMAN BOWEN GREAVES JR. M.D.

Family Medicine

3569 ROUND BARN CIR
SANTA ROSA, CA 95403

Sonoma County (707) 303-3600

KYLE RANSOM D.O.

Family Medicine

3569 ROUND BARN CIR
SANTA ROSA, CA 95403

Sonoma County (707) 303-3600

ELIZABETH VIRGINIA FERNWOOD

Nurse Practitioner

3569 ROUND BARN CIR
SANTA ROSA, CA 95403

Sonoma County (707) 303-3600

MOLLIE SCHRODI PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)

3569 ROUND BARN CIR
SANTA ROSA, CA 95403

Sonoma County (707) 303-3600

KAYLA FLORES TINDALL

Family Medicine

3569 ROUND BARN CIR, SUITE 200
SANTA ROSA, CA 95403

Sonoma County (707) 583-8800

STEPHEN P KRUMLAND M.D.

Family Medicine

3569 ROUND BARN CIR
SANTA ROSA, CA 95403

Sonoma County (707) 303-3600

PATRICIA G PADILLA-NOAH MD

Family Medicine

3569 ROUND BARN CIR
SANTA ROSA, CA 95403

Sonoma County (707) 303-3600

MR. CHRISTOPH GELSDORF M.D.

Family Medicine

3569 ROUND BARN CIR
SANTA ROSA, CA 95403

Sonoma County (707) 303-3600

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.

Which organizations bill Medicare for Mansi Shah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mansi Shah reassigns Medicare benefits to 2 organizations: Santa Rosa Community Health Centers (Santa Rosa, CA) and County Of Santa Clara (Palo Alto, 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 Mansi Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.