NPI registry status
Active
2026 NPPES data Adult Congenital Heart Disease Physician NPI 1902041643
Verify on CMS → Sooraj Shah
Adult Congenital Heart Disease Physician in Costa Mesa, California.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 106 in Adult Congenital Heart Disease Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
1K
Medicare Part D claims · 188 beneficiaries · Adult Congenital Heart Disease Physician avg: 2K
Generic prescribing
83%
generic claims · 17% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$1.2K
23 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Sooraj Shah filed 1,093 Medicare Part D claims in 2023 as a Adult Congenital Heart Disease Physician in Costa Mesa, California, prescribing 83% generic.
- 1K
- Part D claims, 2023
- 83%
- generic prescribing
- $1.2K
- industry payments (Sunshine Act)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Sooraj Shah's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
1,093 Top 24% higher than 76% of 1,370,886 prescribers
Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Medicare Part D Prescriber Public Use File · 2023
◑
Board-eligible specialty (heuristic, not verified)
Sooraj Shah practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Sooraj Shah?
Quality data not reportedPrimary specialty
Adult Congenital Heart Disease Physician
Medicare Part D claims
1,093 43% vs specialty avg
Specialty distribution in California
How Adult Congenital Heart Disease Physician compares to other specialties among California providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Adult Congenital Heart Disease Physician. Verify directly:
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Sooraj Shah appears in the CMS NPPES registry as an Adult Congenital Heart Disease Physician provider at 1640 NEWPORT BLVD STE 445, Costa Mesa, CA, 92627, with a listed phone of (714) 241-9070. NPI 1902041643 was issued on 12/10/2008.
Medicare Part D records for calendar year 2023 show 1,093 prescription claims written by this provider, covering 188 Medicare beneficiaries and totaling roughly $186K in drug spend, split 17% brand-name and 83% generic by claim count.
Adult Congenital Heart Disease Physician is a narrow specialty nationwide, with 106 enrolled providers across 32 states and an average of 1,930 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline.
Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.
Practice Address
Provider Details
| NPI | 1902041643 |
|---|---|
| Specialty | Adult Congenital Heart Disease Physician |
| Gender | Male |
| NPI Issued | 12/10/2008 |
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Sooraj Shah. Source: openpaymentsdata.cms.gov.
Total received
$1.2K
Largest payer
Abbott Laboratories
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
License & disciplinary context - California MBC 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~150K California medical licensees in 2023 - they are NOT specific to Sooraj Shah. To verify Sooraj Shah's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases
MBC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Typical
Sooraj Shah - brand share 17.0%
Adult Congenital Heart Disease Physician average
17% brand-name claims vs 83% generic, on 1,093 2023 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
1,093
Total Claims
$186K
Total Drug Cost
188
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 2,158
- Total Day Supply
- 64,295
- Brand vs Generic
- 17% brand / 83% generic
- Brand Drug Cost
- $169K
- Generic Drug Cost
- $17K
Patient Demographics
- Average Patient Age
- 77.1 years
- Avg HCC Risk Score
- 1.57
- Gender Split
- 53% female / 47% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Sooraj Shah prescribes most
Top Medicare Part D drugs by claim count, 2023
- Metoprolol Succinate
Metoprolol Succinate
109 claims
- Losartan Potassium
Losartan Potassium
97 claims
- Amlodipine Besylate
Amlodipine Besylate
94 claims
- Furosemide
Furosemide
76 claims
- Rosuvastatin Calcium
Rosuvastatin Calcium
73 claims
- Eliquis
Eliquis
66 claims
- Carvedilol
Carvedilol
63 claims
- Lisinopril
Lisinopril
55 claims
| Drug | Claims |
|---|---|
| Metoprolol Succinate | 109 |
| Losartan Potassium | 97 |
| Amlodipine Besylate | 94 |
| Furosemide | 76 |
| Rosuvastatin Calcium | 73 |
| Eliquis Apixaban | 66 |
| Carvedilol | 63 |
| Lisinopril | 55 |
| Atorvastatin Calcium | 45 |
| Xarelto Rivaroxaban | 39 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Adult Congenital Heart Disease Physician in CA →
All providers in California →
Compare specialties →
Adult Congenital Heart Disease Physician Overview
How Sooraj Shah fits within the Adult Congenital Heart Disease Physician landscape nationally.
106
Adult Congenital Heart Disease Physician Providers in US
32
States with Adult Congenital Heart Disease Physician
1,930
Avg Claims per Provider
Sooraj Shah's 1,093 claims are below the specialty average of 1,930.
Nearby Adult Congenital Heart Disease Physician Providers in California
Other clinicians with the same primary specialty enrolled in California, drawn from the same CMS NPPES roster as Shah.
Dr. Joseph Bayne
M.D.
San Francisco, CA
Dr. Scott Ceresnak
MD
Palo Alto, CA
Dr. Daniel Clark
MD
Stanford, CA
Dr. Daniel Cortez
MD, PHD
Sacramento, CA
Dr. Anne Dubin
MD
Palo Alto, CA
Compare Adult Congenital Heart Disease Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the California medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Adult Congenital Heart Disease Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Sooraj Shah's specialty? ▼
Sooraj Shah specializes in Adult Congenital Heart Disease Physician and practices in Costa Mesa, California.
How much does Sooraj Shah prescribe under Medicare Part D? ▼
In 2023, Sooraj Shah wrote 1,093 Medicare Part D claims totaling $186K in drug costs for 188 beneficiaries.
Where is Sooraj Shah located? ▼
Sooraj Shah is located at 1640 NEWPORT BLVD STE 445, Costa Mesa, CA, 92627. Phone: (714) 241-9070.
What is Sooraj Shah's NPI number? ▼
Sooraj Shah's National Provider Identifier (NPI) is 1902041643, issued on 12/10/2008.
Does Sooraj Shah prescribe more brand-name or generic drugs? ▼
Sooraj Shah's prescribing is 17% brand-name and 83% generic drugs by claim count, with $169K in brand drug costs.
How many Adult Congenital Heart Disease Physician providers are there in the US? ▼
There are 106 Adult Congenital Heart Disease Physician providers across 32 states in the US. The average Adult Congenital Heart Disease Physician provider writes 1,930 Medicare Part D claims per year.
What drugs does Sooraj Shah prescribe most often? ▼
Based on 2023 Medicare Part D data, Sooraj Shah's most frequently prescribed drugs include Metoprolol Succinate, Losartan Potassium, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Sooraj Shah accept Medicare? ▼
Sooraj Shah appears in CMS Medicare data with 1,093 Part D claims and 188 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Sooraj Shah's credentials? ▼
Sooraj Shah's NPI is 1902041643. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Compiled from official public sources by the PlainDoctor editorial team.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.