Sanket Shah, MD
NPI 1528355799 · Retina Specialist (Ophthalmology) Physician · Milpitas, CA
Enrolled with Medicare as Practitioner - Ophthalmology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sanket Shah, MD is a Retina Specialist (Ophthalmology) Physician provider in Milpitas, CA (NPI 1528355799).
Provider details
- NPI number
- 1528355799
- Entity type
- Individual
- Primary specialty
- Retina Specialist (Ophthalmology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- A139153 (CA)
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
14 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
109 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) |
|---|---|---|
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 41 | $192 |
| Imaging of Retina92134 | 31 | $47 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 22 | $95 |
| Photography of the Retina92250 | 15 | $46 |
Typical Medicare-allowed amounts for these services range $46–$192 (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 · 8 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Latanoprost | 56 | 22 |
| Prednisolone Acetate | 51 | 31 |
| Brimonidine Tartrate | 44 | 20 |
| Dorzolamide Hcl/Timolol Maleatbrand: Dorzolamide-Timolol | 31 | 18 |
| Erythromycin Basebrand: Erythromycin | 30 | 22 |
| Ketorolac Tromethamine | 20 | 12 |
| Timolol Maleate | 14 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$423 across 4 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)
- 46923 Warm Springs Blvd Ste 207Fremont, CA 94539-7977Phone: (669) 599-0040Fax: (669) 201-0557
Registry dates
- Enumerated
- 2011-07-07
- Last updated
- 2024-10-24
- Certified
- 2024-10-24
Frequently asked questions
- What is Sanket Shah's NPI number?
- Sanket Shah's National Provider Identifier (NPI) is 1528355799, 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 Retina Specialist (Ophthalmology) Physician (Allopathic & Osteopathic Physicians).
- Where is Sanket Shah located?
- Sanket Shah's practice location on file with NPPES is 1109 S Park Victoria Dr, Milpitas, CA 95035-6942.
- What is Sanket Shah's phone number?
- The practice phone number listed in the NPPES registry for Sanket Shah is (714) 732-1417.
- 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 (1528355799) is active in the NPPES registry as of the last update on 2024-10-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.