Priya Shah, M.D.
NPI 1316129109 · Internal Medicine Physician · Orange, CA
Enrolled with Medicare as Practitioner - Endocrinology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Priya Shah, M.D. is a Internal Medicine Physician provider in Orange, CA (NPI 1316129109).
Provider details
- NPI number
- 1316129109
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- A98798 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
18 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,351 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 Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 640 | $138 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 155 | $17 |
| Ultrasound Scan of Head and Neck Soft Tissue76536 | 135 | $125 |
| Continuous Monitoring of Blood Sugar Level in Tissue Fluid Using Sensor Under Skin With Interpretation and Report95251 | 118 | $36 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 105 | $193 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 40 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Levothyroxine Sodium | 649 | 224 |
| Levothyroxine Sodiumbrand: Synthroid | 154 | 53 |
| Metformin Hcl | 139 | 51 |
| Semaglutidebrand: Ozempic | 108 | 38 |
| Pioglitazone Hcl | 106 | 43 |
| Tirzepatidebrand: Mounjaro | 80 | 22 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$2,327 across 111 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
Registry dates
- Enumerated
- 2007-12-03
- Last updated
- 2017-02-14
Frequently asked questions
- What is Priya Shah's NPI number?
- Priya Shah's National Provider Identifier (NPI) is 1316129109, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Priya Shah's specialty?
- Priya Shah is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Priya Shah located?
- Priya Shah's practice location on file with NPPES is 725 W La Veta Ave, Orange, CA 92868-4403.
- What is Priya Shah's phone number?
- The practice phone number listed in the NPPES registry for Priya Shah is (714) 771-5700.
- Does Priya Shah accept Medicare?
- Priya Shah is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Priya Shah's NPI active?
- Yes — Priya Shah's NPI (1316129109) is active in the NPPES registry as of the last update on 2017-02-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.