2026 NPPES data Adult Congenital Heart Disease Physician NPI 1902041643
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SOORAJ SHAH

Adult Congenital Heart Disease Physician in COSTA MESA, California. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
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)
What the federal data reveals: SOORAJ SHAH is a Adult Congenital Heart Disease Physician ([object Object]) practicing in COSTA MESA, California with a Medicare Part D prescribing footprint of 1K claims across 188 beneficiaries — 17% brand-name prescribing . Industry payments of $1.2K across 23 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: SOORAJ SHAH filed 1,093 Medicare Part D claims in 2023 across COSTA MESA, California. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

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).

SOORAJ SHAH at a glance

Quality data not reported

NPI registry status

Active

Issued 12/10/2008

NPI 1902041643

Primary specialty

Adult Congenital Heart Disease Physician

Rare

104 US NPIs in this specialty

Medicare Part D claims

1,093 43% vs specialty avg

2023 prescription claims

Specialty avg: 1,930

Specialty distribution in California

How Adult Congenital Heart Disease Physician compares to other specialties among California providers

California providers

Adult Congenital Heart Disease Physician share within California

1. Adult Congenital Heart Disease Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Adult Congenital Heart Disease Physician share within California

Specialty board-certification context

Estimated specialty board-certified rate — Adult Congenital Heart Disease Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Adult Congenital Heart Disease Physician ABMS/AOA estimate

Est. board-certified rate (Adult Congenital Heart Disease Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Adult Congenital Heart Disease Physician) — ABMS / AOA estimate

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 is a Adult Congenital Heart Disease Physician provider practicing in COSTA MESA, California, according to the CMS National Plan and Provider Enumeration System (NPPES). NPI: 1902041643. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

SOORAJ SHAH appears in the CMS NPPES registry as a 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. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SHAH most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

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. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Adult Congenital Heart Disease Physician is a narrow specialty nationwide, with 104 enrolled providers across 31 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

1640 NEWPORT BLVD STE 445
COSTA MESA, CA 92627

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%
Specialty average (est.)

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.

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.

Adult Congenital Heart Disease Physician Overview

How SOORAJ SHAH fits within the Adult Congenital Heart Disease Physician landscape nationally.

104
Adult Congenital Heart Disease Physician Providers in US
31
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.

Compare Adult Congenital Heart Disease Physician nationally: see state-by-state distribution →

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 104 Adult Congenital Heart Disease Physician providers across 31 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

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