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DR. SHAIVAL SUMATI SHAH M.D.
NPI 1912164708
Ophthalmology in Yorba Linda, CA

Active since May 20, 2008PECOS EnrolledAccepts Medicare Assignment
22550 SAVI RANCH PKWY, YORBA LINDA, CA 92887(714) 685-3641 Get Directions Write a Review

NPPES record last updated: December 6, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Shaival Sumati Shah M.d. NPPES

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

DR. SHAIVAL SUMATI SHAH M.D. (NPI 1912164708) is an individual ophthalmology provider in Yorba Linda, California, licensed in California (A126724) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2008).

NPPES Registry Identity

NPI1912164708
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. SHAIVAL SUMATI SHAHCredential: M.D.
Location Address22550 SAVI RANCH PKWYYorba Linda, CA 92887-4670
Mailing Address22550 Savi Ranch PkwyYorba Linda, CA 92887-4670 · (714) 685-3641
Phone(714) 685-3641
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2008
Enumeration DateMay 20, 2008
Last NPPES UpdateDecember 6, 2021
✔ NPI 1912164708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in CA · A126724
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
22550 SAVI RANCH PKWY, Yorba Linda, CA 92887
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Shaival Sumati 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 ID7113182056
PECOS Enrollment IDI20131111001198
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

2

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

Southern California Permanente Medical Group
4.5 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
Hawaii Permanente Medical Group Inc
2,590 mi
Health Maintenance Organization
3288 MOANALUA RD
Honolulu, HI 96819
  • Reassigned Medicare billing, Hawaii enrollment
  • 1,187 clinicians in this Medicare group
NPI 1710945969 (808) 432-0000

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 92887 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
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 20

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

SHERRY LYNN GOMEZ
Registered Nurse
22550 SAVI RANCH PKWY
YORBA LINDA, CA 92887
Orange County (714) 685-3500
KAISER FOUNDATION HEALTH PLAN INC
Pharmacy (Community/Retail Pharmacy)
22550 SAVI RANCH PKWY
YORBA LINDA, CA 92887
Orange County (714) 685-3580
MARK SHIROMA
Pharmacist
22550 SAVI RANCH PKWY
YORBA LINDA, CA 92887
Orange County (714) 685-3580
DR. CYNTHIA TOY PHARM.D.
Pharmacist
22550 SAVI RANCH PKWY
YORBA LINDA, CA 92887
Orange County (714) 685-3725
DR. JASON SHEN MD
Family Medicine
22550 SAVI RANCH PKWY
YORBA LINDA, CA 92887
Orange County (714) 685-3633
MR. RONALD ALVIN WELCH PT
Physical Therapist (Orthopedic)
22550 SAVI RANCH PKWY
YORBA LINDA, CA 92887
Orange County (714) 685-3587
ARIANNE DEVI SHARMA DO
Family Medicine
22550 SAVI RANCH PKWY
YORBA LINDA, CA 92887
Orange County (909) 685-3600
DR. SILVESTER ROQUE LIM M.D.
Family Medicine
22550 SAVI RANCH PKWY
YORBA LINDA, CA 92887
Orange County (888) 988-2800

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 Shaival Shah's NPI number?

The NPI number for Shaival Shah is 1912164708. It was assigned to this individual provider in the NPPES registry on May 20, 2008.

Where is Shaival Shah located?

Shaival Shah practices at 22550 Savi Ranch Pkwy, Yorba Linda, CA 92887. The listed phone number is (714) 685-3641.

What is Shaival Shah's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Shaival Shah enrolled in Medicare?

Yes. Shaival Shah is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Shaival Shah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shaival Shah reassigns Medicare benefits to 2 organizations: Southern California Permanente Medical Group (Anaheim, CA) and Hawaii Permanente Medical Group Inc (Honolulu, HI). 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 Shaival 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 Shaival Shah was last updated on December 6, 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.