DR. NIYATI BHARAT SHAH M.D.
NPI 1891136354
Family Medicine in Encinitas, CA

Q: What is Niyati Shah's NPI number?

The NPI number for Niyati Shah is 1891136354. It was assigned to this individual provider in the NPPES registry on July 12, 2013.

Q: What is Niyati 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 Niyati Shah was last updated on September 24, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 12, 2013PECOS EnrolledAccepts Medicare Assignment

1130 2ND ST, ENCINITAS, CA 92024(760) 736-6767 Get Directions Write a Review

NPPES record last updated: September 24, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 24, 2024, Oct 31, 2016 (2 updates tracked since 2016).

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About Dr. Niyati Bharat Shah M.d. NPPES

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

DR. NIYATI BHARAT SHAH M.D. (NPI 1891136354) is an individual family medicine provider in Encinitas, California, licensed in California (C193352) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS and is a graduate of Boston University School Of Medicine (2010).

NPPES Registry Identity

NPI1891136354

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. NIYATI BHARAT SHAHCredential: M.D.

Location Address1130 2ND STEncinitas, CA 92024-5008

Mailing Address150 Valpreda RdSan Marcos, CA 92069-2973 · (760) 736-6767

Phone(760) 736-6767

Sole ProprietorNo

Medical School CMSBoston University School Of MedicineGraduated 2010

Enumeration DateJuly 12, 2013

Last NPPES UpdateSeptember 24, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 24, 2024

✔ NPI 1891136354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · C193352

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.

1130 2ND ST, Encinitas, CA 92024

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include McLaren Health Plan Community.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Niyati Bharat 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 ID2567763808

PECOS Enrollment IDI20161220001004, I20240930002906

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 92024 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

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

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.

Reported Quality Measures

Breast Cancer Screening

Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer

43%142 patients2/55-star benchmark: 92%

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

44%283 patients3/55-star benchmark: 85%

Diabetes: Eye Exam

Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period

31%112 patients2/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

3 suppliers13 claims38 services$6.03 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 12

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

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