1. Home
  2. Directory
  3. California
  4. Tustin
  5. Internal Medicine
  6. NPI Profile

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: November 08, 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
Phone(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
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignment

Medicare enrollment records show Amish Shah reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
6.6 mi
Health Maintenance Organization
441 N LAKEVIEW AVE
Anaheim, CA 92807
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1952333460 (714) 279-4000

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 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.

MRS. ANGELICA VICTORIA BON LCSW
Counselor (Mental Health)
17542 17TH ST
TUSTIN, CA 92780
Orange County (714) 734-4500
METABOLIC MEDICINE & FITNESS CENTER
Preferred Provider Organization
17542 17TH ST, SUITE 410
TUSTIN, CA 92780
Orange County (714) 541-4343
HALEY LOUNSBURY
Speech-Language Pathologist
17542 17TH ST
TUSTIN, CA 92780
Orange County (714) 734-4500
JOHN ALEXANDER
Case Manager/Care Coordinator
17542 17TH ST
TUSTIN, CA 92780
Orange County (949) 214-9822
DR. QUYEN DAO M.D.
Internal Medicine (Obesity Medicine)
17542 17TH ST, SUITE 410
TUSTIN, CA 92780
Orange County (714) 835-9550

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 Amish Shah's NPI number?

The NPI number for Amish Shah is 1851531768. It was assigned to this individual provider in the NPPES registry on March 5, 2009.

Where is Amish Shah located?

Amish Shah practices at 17542 17th St Suite 320, Tustin, CA 92780. The listed phone number is (714) 734-5500.

What is Amish Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Amish Shah enrolled in Medicare?

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

Which organization bills Medicare for Amish Shah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amish Shah reassigns Medicare benefits to Southern California Permanente Medical Group (Anaheim, CA). The 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 Amish 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 Amish Shah was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.