Gautam J. Shah, M. D.
Internal Medicine Physician · Encinitas, CA
Gautam J. Shah, M. D. is an internal medicine physician with a practice address in Encinitas, California, and NPI 1063859502, issued on May 23, 2013. Check the license (California A133106, as entered in NPPES) on the Medical Board of California; the Medicare figures below come from public CMS files.
- Name
- Gautam J. Shah
- Credential
- M. D.
- Primary taxonomy
- Internal Medicine Physician 207R00000X
- License number
- A133106 CA
Self-reported in NPPES; status is on the state search - Practice location
- 354 Santa FE Dr, Encinitas, CA 92024
- Phone
- (760) 230-2251
- Enumerated
- May 23, 2013
- Record last updated
- May 23, 2016 (not updated in 10 years: call before relying on the address or phone)
- Fax
- (760) 230-2253
- Medicare enrollment
- Enrolled (PECOS I20160706000823); accepts Medicare assignment
- Medical or professional school
- University Of Illinois College Of Med (Chi/Peor/Rock/Chm-Urb), 2013
- Entity
- Type 1 · individual
8 nearest internal medicine physician records → All 17,696 in California → Look up another NPI →
Also registered at 354 Santa FE Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Neal Aaron, D.O.Emergency Medicine Physician1114283520
- Andrew Accardi, M.D.Emergency Medicine Physician1992781173
- Sonia Ahuja, M.D.Internal Medicine Physician1528059490
- Jeannette Aldous, MDInternal Medicine Physician1073650339
- Lauren Alexander, M.D.Emergency Medicine Physician1285898163
- Sam Alkass, PASurgical Physician Assistant1841428042
Verify Gautam J. Shah in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMedical Board of California
Search for license A133106Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
86% fewer Medicare Part D claims than the average internal medicine physician in 2024
438 Medicare Part D claims for 210 beneficiaries, against an average of 3,176 among the 108,855 providers of this specialty who prescribed in Part D. 33 claims were for opioids.
Most prescribed
- Famotidine22 claims
- Furosemide21 claims
- Oxycodone Hcl21 claims
- Pantoprazole Sodium21 claims
- Cefuroxime19 claims
- Ondansetron Odt15 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 90 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- North County Inpatient Medical Alliance, A Medical Group, IncEncinitas, CA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Gautam J. Shah among 17,696 internal medicine physician records in California
Gautam J. Shah, M. D. is one of 17,696 internal medicine physician records with a practice address in California. 79% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2013, is newer than 71% of them.
- NPI issued2013 · 71% of these records are older, 26% newer
- In a Medicare fileYes · 79% of these records are
- In the CMS Doctors and Clinicians fileYes · 63% of these records are
- Graduated2013 · median 2004 among the 11,065 with a school on file
- Record last updated2016 · 61% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207R00000X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
63 internal medicine physician records list a practice address in Encinitas
They are 63 of the 1,874 NPPES records with a practice address in Encinitas, and 17,696 internal medicine physician records in California.
All 17,696 in California → Every provider in Encinitas → Internal Medicine Physician nationwide →
The 8 internal medicine physician records with the nearest ZIP codes
- Sonia Ahuja, M.D.Encinitas, CA 920241528059490
- Robert Bickerton, M.D.Encinitas, CA 920241992778765
- Dolly Doctor, MDEncinitas, CA 920241205871456
- Taiye Gilles, M.D.Encinitas, CA 920241841232733
- Robert Huang, M.D.Encinitas, CA 920241164423851
- James Labelle, M.D.Encinitas, CA 920241750381372
- Robert Matorin, M.D.Encinitas, CA 920241972525343
- Alexie Nguyen, M.D.Encinitas, CA 920241659367613
Common questions
What is Gautam J. Shah, M. D.'s NPI number?
Gautam J. Shah, M. D.'s National Provider Identifier (NPI) is 1063859502, issued on May 23, 2013. An NPI identifies a provider in billing; it is not a license.
Where is Gautam J. Shah, M. D. located?
The NPPES record lists a practice address at 354 Santa FE Dr, Encinitas, CA, 92024. Phone: (760) 230-2251. Providers update this record themselves, so call before visiting.
How can I verify Gautam J. Shah, M. D.'s license?
NPPES lists California license number A133106, as entered by the provider. Search the Medical Board of California at https://www.mbc.ca.gov/License-Verification/default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Gautam J. Shah, M. D. prescribe under Medicare Part D?
In 2024, Gautam J. Shah, M. D. had 438 Medicare Part D claims for 210 beneficiaries; the average among internal medicine physician prescribers was 3,176. Part D covers Medicare prescriptions only.
What is Gautam J. Shah, M. D.'s MIPS final score?
The 2023 MIPS final score is 90 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.