Active NPI 1285998609 Individual Practitioner Male Practitioner

Dr. Nihar U Shah , MD

Internal Medicine - Gastroenterology • Berkeley, CA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Nihar Shah, MD is a certified Internal Medicine - Gastroenterology practicing in Berkeley, CA. With approximately 19 years of clinical experience since completing medical education in 2007, Dr. Shah delivers high-quality medical care to the local community at 2850 TELEGRAPH AVE.

Dr. Shah is affiliated with Sutter Bay Medical Foundation and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, measurement of liver stiffness. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2850 Telegraph Ave

Berkeley, CA 94705

Telephone 5102048120

Fax 5105067721

Associated Practice Facility / Clinic

🏢 Sutter Bay Medical Foundation Facility NPI 1861848046

Medicare Profile & Education

Medical School

Other

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine - Gastroenterology in Berkeley, CA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

19 Yrs -7.0 yrs vs City Avg

City Avg: 26.0 Yrs

State Avg: 29.1 Yrs

Regional Practice Density

10 Specialists

Practicing in Berkeley, CA (2234 Statewide)

Telehealth Adoption Rate

90.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

86.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shah (19 Years) 19 Yrs

Berkeley Specialty Average (26.0 Years) 26.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	111	111	$576.00	$197.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	104	84	$379.00	$152.54
91200 Measurement of liver stiffness	56	56	$129.00	$39.61
99213 Established patient office or other outpatient visit, typically 15 minutes	47	37	$257.00	$109.73
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	41	40	$2447.00	$275.62
45380 Biopsy of large bowel using an endoscope	34	34	$2183.00	$120.58
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	30	29	$1612.00	$118.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$380.00	$132.03
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	12	11	$1381.00	$125.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	84	84	$554.00	$196.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	73	67	$364.00	$152.84
99213 Established patient office or other outpatient visit, typically 15 minutes	53	41	$247.00	$105.97
91200 Measurement of liver stiffness	42	41	$123.00	$39.76
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	36	35	$2330.00	$285.18
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	33	32	$1535.00	$123.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$365.00	$134.15
45380 Biopsy of large bowel using an endoscope	31	31	$2079.00	$145.51
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	27	18	$252.00	$89.67
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	22	$478.00	$147.01
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	21	21	$1474.00	$190.43
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	13	13	$1678.00	$207.58
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	12	12	$1328.00	$127.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	78	78	$538.00	$195.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	65	57	$353.00	$152.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	51	51	$354.00	$132.64
99213 Established patient office or other outpatient visit, typically 15 minutes	43	41	$240.00	$107.30
45380 Biopsy of large bowel using an endoscope	37	37	$2038.00	$158.93
91200 Measurement of liver stiffness	32	32	$119.00	$39.40
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	31	31	$2284.00	$287.76
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	31	31	$1505.00	$131.58
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	20	14	$247.00	$79.70
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	18	18	$1428.00	$208.54
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$464.00	$150.42
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	12	12	$1247.75	$127.86
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	11	11	$1606.00	$207.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	96	96	$522.00	$196.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	52	$343.00	$152.47
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$344.00	$133.26
99213 Established patient office or other outpatient visit, typically 15 minutes	41	39	$233.00	$108.89
45380 Biopsy of large bowel using an endoscope	37	37	$2038.00	$120.40
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	32	32	$1505.00	$124.82
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	30	30	$2284.00	$288.58
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	23	14	$240.00	$80.71
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	21	21	$1606.00	$210.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	62	62	$501.00	$194.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$331.00	$129.63
45380 Biopsy of large bowel using an endoscope	27	27	$2038.00	$185.95
99213 Established patient office or other outpatient visit, typically 15 minutes	26	19	$226.00	$90.46
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	25	25	$1505.00	$126.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	18	$330.00	$131.09
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	17	11	$251.00	$83.17
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	15	14	$2284.00	$295.55
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$475.00	$157.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	343	161	$175.00	$70.32
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	185	178	$332.00	$132.30
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	49	48	$944.84	$111.81
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	36	33	$131.00	$5.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$465.19	$180.46
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	29	28	$724.00	$109.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	23	$257.17	$104.13
45380 Biopsy of large bowel using an endoscope	21	21	$1210.86	$91.95
99213 Established patient office or other outpatient visit, typically 15 minutes	19	19	$177.68	$72.09
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	16	16	$1415.44	$192.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	110	67	$175.00	$69.43
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	81	79	$332.00	$131.31
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	19	19	$921.00	$121.73
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	17	17	$724.00	$110.14
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	13	13	$131.00	$5.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$390.00	$154.80

Medical Specialties & State Licenses

CMS Verified: 2021-01-29

Internal Medicine - Gastroenterology Primary Specialty

NUCC Taxonomy Code: 207RG0100X

State License CA 989517

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Internal Medicine - Hepatology

NUCC Taxonomy Code: 207RI0008X

State License CA A133210

The discipline of Hepatology encompasses the structure, function, and diseases of the liver and biliary tract. The American Board of Internal Medicine considers Hepatology part of the subspecialty of gastroenterology. Physicians who identify themselves as Hepatologists usually, but not always, have been trained in gastrointestinal programs.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID State Medical License

A133210 (CA)

Hospital & Practice Group Affiliations

Sutter Bay Medical Foundation

350 Hawthorne Ave, Oakland, CA 946093108

Phone: 5106554000

Sutter Bay Medical Foundation

795 El Camino Real, Palo Alto, CA 943012302

Phone: 4156001020

Sutter Bay Medical Foundation

350 Hawthorne Ave, Oakland, CA 946093108

Phone: 5108696883

Sutter Bay Medical Foundation

2450 Ashby Ave, Berkeley, CA 947052067

Phone: 5102044444

Sutter Bay Medical Foundation

2850 Telegraph Ave, Berkeley, CA 947051159

Sutter Bay Medical Foundation

2450 Ashby Ave, Berkeley, CA 947052067

Phone: 5102044444

Sutter Bay Medical Foundation

3200 Kearney St, Fremont, CA 945382299

Phone: 5104901222

Secondary Practice Locations

530 S Jackson St, Gastroenterology/hepatology

Louisville, KY 402021675

Phone: 5025884600

12 Camino Encinas

Orinda, CA 945633304

Phone: 5102048189

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

26 Associated Practitioners

Omar Merchant , MEDICAL DEGREE

Family Medicine - Sleep Medicine

NPI 1043891534

MEDICALDEGREE

Dr. Giovanni Begossi , MD

Surgery - Surgical Oncology

NPI 1053460873

Doctor of Medicine (M.D.)

Dr. Vinod Kurupath , MD

Internal Medicine - Gastroenterology

NPI 1093972382

Doctor of Medicine (M.D.)

Dr. Abhik Roy , MD

Internal Medicine - Gastroenterology

NPI 1235455882

Doctor of Medicine (M.D.)

Iva Esparza , NP

Nurse Practitioner

NPI 1235801549

Nurse Practitioner

Dr. Brian Richardson , MD

Psychiatry & Neurology - Neurology

NPI 1265540892

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Practice Location October 15, 2019

Registered at 2850 TELEGRAPH AVE, BERKELEY, CA 94705 (Tel: 5102048120)

📍

Updated Business Mailing Address October 15, 2019

Registered at 325 DISTEL CIR, LOS ALTOS, CA 940221408 (Tel: 5102048120)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 15, 2019

Internal Medicine (License #989517 in CA)

✅

NPI Profile Active October 24, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location October 24, 2016

Registered at 530 S JACKSON ST, GASTROENTEROLOGY/HEPATOLOGY, LOUISVILLE, KY 402021675 (Tel: 5025884600)

📍

Updated Business Mailing Address October 24, 2016

Registered at 550 S JACKSON ST, GASTROENTEROLOGY/HEPATOLOGY, LOUISVILLE, KY 402021622 (Tel: 5025884600)

👤

Provider Name / Credentials Updated October 24, 2016

Recorded as NIHAR SHAH, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 24, 2016

Internal Medicine (License #48939 in KY)

🟢

Initial NPI Registration & Enumeration June 29, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1285998609

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 29, 2012

Last Update: January 29, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

325 Distel Cir

Los Altos, CA 940221408

Phone: 5102048120

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.