Shibani Shah
NPI 1326719063 · Nurse Practitioner · Newport Beach, CA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shibani Shah is a Nurse Practitioner provider in Newport Beach, CA (NPI 1326719063).
Provider details
- NPI number
- 1326719063
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 95063243 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
4 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
682 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) |
|---|---|---|
| Destruction of Precancer Skin Growth, 2-14 Growths17003 | 304 | $6 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 105 | $117 |
| Destruction of Precancer Skin Growth, 1 Growth17000 | 68 | $49 |
| Biopsy of Related Skin Growth, First Growth11102 | 54 | $89 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 53 | $84 |
| Biopsy of Related Skin Growth, Each Additional Growth |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 6 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Ketoconazole | 71 | 35 |
| Clobetasol Propionate | 52 | 32 |
| Triamcinolone Acetonide | 42 | 27 |
| Mupirocin | 22 | 18 |
| Desonide | 16 | 11 |
| Doxycycline Hyclate | 15 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$3,257 across 66 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 (2)
- 701 E 28th St Ste 311Long Beach, CA 90806-2780Phone: (562) 595-4777Fax: (562) 424-9644
- 1360 W 6th St Ste 370San Pedro, CA 90732-3527Phone: (310) 519-8890Fax: (310) 519-9349
Registry dates
- Enumerated
- 2021-09-22
- Last updated
- 2021-10-11
- Certified
- 2021-10-11
Frequently asked questions
- What is Shibani Shah's NPI number?
- Shibani Shah's National Provider Identifier (NPI) is 1326719063, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shibani Shah's specialty?
- Shibani Shah is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Shibani Shah located?
- Shibani Shah's practice location on file with NPPES is 1441 Avocado Ave Ste 409, Newport Beach, CA 92660-7705.
- What is Shibani Shah's phone number?
- The practice phone number listed in the NPPES registry for Shibani Shah is (949) 640-4501.
- Does Shibani Shah accept Medicare?
- Shibani Shah is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shibani Shah's NPI active?
- Yes — Shibani Shah's NPI (1326719063) is active in the NPPES registry as of the last update on 2021-10-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.