Priyal Shah, MD
NPI 1104387075 · Ophthalmology Physician · Loma Linda, CA
Enrolled with Medicare as Practitioner - Ophthalmology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Priyal Shah, MD is a Ophthalmology Physician provider in Loma Linda, CA (NPI 1104387075).
Provider details
- NPI number
- 1104387075
- Entity type
- Individual
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 25MA12048700 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
7 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
471 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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) |
|---|---|---|
| Established Patient Problem Focused Exam of Visual System92012 | 165 | $99 |
| Extended Exam of the Back Part of the Eye With Optic Nerve Drawing92202 | 86 | $17 |
| Established Patient Complete Exam of Visual System92014 | 68 | $140 |
| Imaging of Retina92134 | 63 | $44 |
| New Patient Complete Exam of Visual System92004 | 36 | $160 |
| Photography of the Retina92250 | 23 | $40 |
| Exam of Visual Field With Extended Testing |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 7 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Tobramycin/Dexamethasonebrand: Tobramycin-Dexamethasone | 72 | 63 |
| Erythromycin Basebrand: Erythromycin | 19 | 17 |
| Prednisolone Acetate | 18 | 16 |
| Neomycin/Polymyxin B/Dexamethabrand: Neomycin-Polymyxin-Dexameth | 13 | 12 |
| Cyclosporine | 12 | — |
| Latanoprost | 12 | — |
| Fluorometholone | 11 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$260 across 10 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 195 Fairfield Ave Ste 4bWest Caldwell, NJ 07006-6419Phone: (732) 228-4990
Registry dates
- Enumerated
- 2019-03-25
- Last updated
- 2025-07-01
- Certified
- 2025-07-01
Frequently asked questions
- What is Priyal Shah's NPI number?
- Priyal Shah's National Provider Identifier (NPI) is 1104387075, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Priyal Shah's specialty?
- Priyal Shah is listed in the NPPES registry with a primary specialty of Ophthalmology Physician (Allopathic & Osteopathic Physicians).
- Where is Priyal Shah located?
- Priyal Shah's practice location on file with NPPES is 11370 Anderson St Ste 1800, Loma Linda, CA 92354-3450.
- What is Priyal Shah's phone number?
- The practice phone number listed in the NPPES registry for Priyal Shah is (909) 558-2154.
- Does Priyal Shah accept Medicare?
- Priyal Shah is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Priyal Shah's NPI active?
- Yes — Priyal Shah's NPI (1104387075) is active in the NPPES registry as of the last update on 2025-07-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.