IndividualActiveAccepts Medicare

Ketan Shah, M.D., M.B.A.

NPI 1629244652 · Gastroenterology Physician · Orange, CA

Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Provider details

NPI number: 1629244652
Entity type: Individual
Primary specialty: Gastroenterology PhysicianAllopathic & Osteopathic Physicians
Credential: M.D., M.B.A.
Sex: Male
Sole proprietor: No
License: A120437 (CA)

Specialties & taxonomies

Gastroenterology PhysicianPrimary207RG0100XLicense A120437 (CA)
Allopathic & Osteopathic Physicians
Internal Medicine Physician207R00000XLicense A120437 (CA)
Allopathic & Osteopathic Physicians

Profile Score

Established profile(71/100 index)

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
2 documented practice locations
Medicare service volume (vs. specialty peers)25% of score
68 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)
Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232	28	$82
Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215	27	$178
New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205	13	$214

Typical Medicare-allowed amounts for these services range $82–$214 (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 · 3 distinct drugs on file.

Drug	Part D claims (2024)	Beneficiaries
Omeprazole	54	26
Pantoprazole Sodium	12	—
Peg3350/Sod Sulf,bicarb,cl/Kclbrand: Gavilyte-G	12	11

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.

$5,262 across 14 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

1100 W Town and Country Rd Ste 1250

Orange, CA 92868-4633

Phone: (949) 744-5441

Fax: (949) 266-1661

Street-level locationGet directions

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Mailing address