Sanket Shah, MD
NPI 1396137865 · Ophthalmology Physician · Fresno, CA
Enrolled with Medicare as Practitioner - Ophthalmology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sanket Shah, MD is a Ophthalmology Physician provider in Fresno, CA (NPI 1396137865).
Provider details
- NPI number
- 1396137865
- Entity type
- Individual
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 54051 (KY)
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
11 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
548 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) |
|---|---|---|
| Imaging of Retina92134 | 95 | $42 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 74 | $93 |
| Injection of Drug Into Eye67028 | 62 | $115 |
| Compounded Drug, Not Otherwise ClassifiedJ7999 | 58 | $93 |
| Removal of Cataract With Insertion of Prosthetic Lens66984 | 48 | $530 |
| Measurement of Corneal Curvature and Depth of Eye92136 | 40 | $48 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 5 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Latanoprost | 56 | 14 |
| Prednisolone Acetate | 39 | 26 |
| Brimonidine Tartrate | 28 | — |
| Acetazolamide | 19 | — |
| Timolol Maleate | 16 | — |
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.
$4,308 across 56 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
- 2015-02-20
- Last updated
- 2023-08-23
- Certified
- 2023-08-23
Frequently asked questions
- What is Sanket Shah's NPI number?
- Sanket Shah's National Provider Identifier (NPI) is 1396137865, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sanket Shah's specialty?
- Sanket Shah is listed in the NPPES registry with a primary specialty of Ophthalmology Physician (Allopathic & Osteopathic Physicians).
- Where is Sanket Shah located?
- Sanket Shah's practice location on file with NPPES is 1360 E Herndon Ave Ste 201, Fresno, CA 93720-3326.
- What is Sanket Shah's phone number?
- The practice phone number listed in the NPPES registry for Sanket Shah is (559) 449-5050.
- Does Sanket Shah accept Medicare?
- Sanket Shah is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sanket Shah's NPI active?
- Yes — Sanket Shah's NPI (1396137865) is active in the NPPES registry as of the last update on 2023-08-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.