DR. AMI PATEL SHAH (O.D.) – Optometrist, NPI 1881665388

DR. AMI PATEL SHAH (O.D.) is a healthcare provider. based in Elk grove, California. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 12341 (CA). The NPI Number for DR. AMI PATEL SHAH (O.D.) is 1881665388

Main info

Female
Sole Proprietor
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. AMI PATEL SHAH (O.D.)
NPI
1881665388
Phone
(562) 841-0757
Address
4810 ELK GROVE BLVD
Enumeration Date
1 February 2006
Last Update Date
7 November 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9164782778
Graduation Year
2003 (23 years ago)
PAC ID
6406752583
Group Practice PAC ID
8325456536
Professional Enrollment ID
I20031209001140
Address ID
CA957584191EL4810XBLVD401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,909 OPTOMETRY in CA

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Provider Addresses for DR. AMI PATEL SHAH (O.D.)

  • Elk Grove Boulevard, Elk Grove, Sacramento County, California, 94624, United States

    SUITE 160

    ELK GROVE, CA 957584186

    Phone: (562) 841-0757

    Fax: (916) 478-2779

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $29.

Total Amount is formed as General ($29) + Research ($0) + Ownership ($0) = $29.

Last reported payment date: 2023-04-14 • Largest payer in this snapshot: CooperVision Inc. ($29).

Total Amount

$29

General + Research + Ownership

Payments

2

Total payment records

General Amount

$29

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-14

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
CooperVision Inc.$29
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2003-12-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20031209001140IOptometryCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 95758)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8325456536View full group profile
NameSpecialtyState
O P T O M E T R YCA
O P T O M E T R YCA
O P T O M E T R YCA
O P T O M E T R YCA
O P T O M E T R YCA
O P T O M E T R YCA
O P T O M E T R YCA
O P T O M E T R YCA
O P T O M E T R YCA
O P T O M E T R YCA

Reviews

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Frequently asked questions

What NPI should I save for DR. AMI PATEL SHAH (O.D.)?
Save NPI 1881665388 if you need a stable reference for DR. AMI PATEL SHAH (O.D.).
Is DR. AMI PATEL SHAH (O.D.) active in the national directory?
DR. AMI PATEL SHAH (O.D.)'s public NPI profile is in an active state.
What kind of provider is DR. AMI PATEL SHAH (O.D.)?
The page reflects Optometrist for DR. AMI PATEL SHAH (O.D.). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. AMI PATEL SHAH (O.D.)?
The page summarizes Elk Grove, California for DR. AMI PATEL SHAH (O.D.); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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