Amish Kishor Shah, DO, MP,H, - Medicare Internal Medicine in Tustin, CA

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Amish Kishor Shah, DO, MP,H, is a medicare enrolled "Internal Medicine - Geriatric Medicine" physician in Tustin, California. His current practice location is 17542 17th St, Suite 320, Tustin, California. You can reach out to his office (for appointments etc.) via phone at (714) 734-5500.

Amish Kishor Shah is licensed to practice in California (license number 20A11673) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1851531768.

Contact Information

Amish Kishor Shah, DO, MP,H,
17542 17th St, Suite 320,
Tustin, CA 92780-1959
(714) 734-5500
Not Available

Map and Direction




Physician's Profile

Full NameAmish Kishor Shah
GenderMale
SpecialityInternal Medicine - Geriatric Medicine
Location17542 17th St, Tustin, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1851531768
  • Provider Enumeration Date: 03/05/2009
  • Last Update Date: 11/29/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4183897416
  • Enrollment ID: I20111102000716

Medical Identifiers

Medical identifiers for Amish Kishor Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851531768NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0300XInternal Medicine - Geriatric Medicine 20A11673 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Amish Kishor Shah allows following entities to bill medicare on his behalf.
Entity NameSouthern California Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770515280
PECOS PAC ID: 6002729175
Enrollment ID: O20031110000678

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amish Kishor Shah is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Amish Kishor Shah, DO, MP,H,
17542 17th St, Suite 320,
Tustin, CA 92780-1959

Ph: (714) 734-5500		Amish Kishor Shah, DO, MP,H,
17542 17th St, Suite 320,
Tustin, CA 92780-1959

Ph: (714) 734-5500

Reviews and Comments


Internal Medicine Doctors in Tustin, CA

Dr. Huong T Duong, M.D.
Geriatric Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 17400 Irvine Blvd, Suite F, Tustin, CA 92780
Phone: 714-838-5610    
Dr. Susan L Ban, M.D.
Geriatric Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 17400 Irvine Blvd, Suite F, Tustin, CA 92780
Phone: 714-838-5610    
Jeremy Lam, M.D.
Geriatric Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2492 Walnut Ave Ste 100, Tustin, CA 92780
Phone: 714-709-8000    Fax: 714-709-8080
Dr. Thomas C Hwang, M.D.
Geriatric Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 17400 Irvine Blvd, Suite F, Tustin, CA 92780
Phone: 714-838-5610    
Dr. James A Grimes, M.D.
Geriatric Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 17400 Irvine Blvd, Suite F, Tustin, CA 92780
Phone: 714-838-5610    
Dr. Pin-hung Hsieh, M.D.
Geriatric Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 13522 Newport Ave Ste 102, Tustin, CA 92780
Phone: 714-573-8200    Fax: 714-573-9401
Madonna A Nicolai, CFNP
Geriatric Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 14351 Myford Rd, Suite B, Tustin, CA 92780
Phone: 714-550-9990    Fax: 714-550-1226

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.