Gautam Shah, M. D.
NPI 1063859502 · Internal Medicine Physician · Encinitas, CA
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Gautam Shah, M. D. is a Internal Medicine Physician provider in Encinitas, CA (NPI 1063859502).
Provider details
- NPI number
- 1063859502
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M. D.
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
13 yrs in NPPES registry
- Profile completeness28% of score
83% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
901 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 582 | $114 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 253 | $112 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 66 | $167 |
Typical Medicare-allowed amounts for these services range $112–$167 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 11 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Famotidine | 22 | 21 |
| Furosemide | 21 | 20 |
| Oxycodone Hcl | 21 | 21 |
| Pantoprazole Sodium | 21 | 21 |
| Cefuroxime Axetilbrand: Cefuroxime | 19 | 19 |
| Ondansetronbrand: Ondansetron Odt | 15 | 14 |
| Prednisone | 13 | 13 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-05-23
- Last updated
- 2016-05-23
Frequently asked questions
- What is Gautam Shah's NPI number?
- Gautam Shah's National Provider Identifier (NPI) is 1063859502, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gautam Shah's specialty?
- Gautam Shah is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Gautam Shah located?
- Gautam Shah's practice location on file with NPPES is 354 Santa Fe Dr, Encinitas, CA 92024-5142.
- What is Gautam Shah's phone number?
- The practice phone number listed in the NPPES registry for Gautam Shah is (760) 230-2251.
- Does Gautam Shah accept Medicare?
- Gautam Shah is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Gautam Shah's NPI active?
- Yes — Gautam Shah's NPI (1063859502) is active in the NPPES registry as of the last update on 2016-05-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.