AMISH KISHOR SHAH D.O., M.P,H,
NPI 1851531768
Internal Medicine - Geriatric Medicine in Tustin, CA

Active since March 05, 2009PECOS Enrolled
17542 17TH ST, SUITE 320, TUSTIN, CA 92780(714) 734-5500 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Amish Kishor Shah D.o., M.p,h, NPPES

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

AMISH KISHOR SHAH D.O., M.P,H, (NPI 1851531768) is an individual geriatric medicine provider in Tustin, California, licensed in California (20A11673) and active in the NPI registry since March 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851531768
Entity TypeIndividualMale
Primary Taxonomy207RG0300X
Provider Legal NameAMISH KISHOR SHAHCredential: D.O., M.P,H,
Location Address17542 17TH ST, SUITE 320Tustin, CA 92780-1959
Mailing Address17542 17th St, Suite 320Tustin, CA 92780-1959 · (714) 734-5500
Sole ProprietorNo
Enumeration DateMarch 5, 2009
Last NPPES UpdateNovember 29, 2021
NPI 1851531768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License Licensed in CA · 20A11673
Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

17542 17TH ST, Tustin, CA 92780

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Amish Kishor Shah D.o., M.p,h, 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 92780 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
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Obesity Medicine)
17542 17TH ST, SUITE 410
TUSTIN, CA 92780
Preferred Provider Organization
17542 17TH ST, SUITE 410
TUSTIN, CA 92780
Speech-Language Pathologist
17542 17TH ST
TUSTIN, CA 92780
Counselor (Mental Health)
17542 17TH ST
TUSTIN, CA 92780
Case Manager/Care Coordinator
17542 17TH ST
TUSTIN, CA 92780

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1851531768, enumerated as an "individual" on March 05, 2009.

The provider is located at 17542 17TH ST SUITE 320 TUSTIN, CA 92780 and the phone number is (714) 734-5500.

Internal Medicine with taxonomy code 207RG0300X and a focus in Geriatric Medicine.