Doctor profile · Federal record
Dr. Gautam Shah, M. D.
Internal Medicine Physician (CMS: Internal Medicine) · Student in an Organized Health Care Education/Training Program · Encinitas, CA
- NPI 1063859502
- Accepts Medicare
- MIPS 84.3 / 100 · 2023
- 13 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
354 Santa Fe Dr
Encinitas, CA 920245142
(760) 230-2251
fax (760) 230-2253 - Mailing address
-
Po Box 231189
Encinitas, CA 920231189
Credentials & registration
- NPI registered
- May 2013 — 13 yrs on file
- Profile last updated
- May 23, 2016
- Year of graduation
- 2013 — 13 yrs since
- Specialty taxonomy
- 207R00000X — NUCC code
- State license (1)
- California #A133106
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1063859502. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
977
Distinct HCPCS
3
Medicare allowed
$121,962
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 664 | 263 | $122 | |
99239 |
Hospital discharge day management, more than 30 minutes | 256 | 247 | $119 | |
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 57 | 54 | $179 |
In context: peer comparison
Among 23 peers in Encinitas Internal Medicine Physician, average services per provider: 308. This provider delivers 3.2× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
168
Patients
152
Total drug cost
$1,684
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) | Brand | 20 | 20 | $142 |
| Pantoprazole Sodium | Generic | 20 | 19 | $240 |
| Furosemide | Generic | 19 | 19 | $64 |
| Cephalexin | Generic | 16 | 15 | $115 |
| Oxycodone Hcl | Generic | 16 | 16 | $50 |
| Albuterol Sulfate Hfa (Albuterol Sulfate) | Brand | 15 | 15 | $506 |
| Famotidine | Generic | 15 | 15 | $136 |
| Prednisone | Generic | 13 | 11 | $147 |
| Hydralazine Hcl | Generic | 12 | 11 | $77 |
| Cefuroxime (Cefuroxime Axetil) | Brand | 11 | 11 | $69 |
Hospital affiliations
Frequently asked questions
What is Dr. Gautam Shah's medical specialty?
Dr. Gautam Shah practices Internal Medicine Physician in Encinitas, CA.
Where does Dr. Gautam Shah practice?
Dr. Gautam Shah practices at 354 Santa Fe Dr, Encinitas, CA 920245142. Office phone: 7602302251.
What is Dr. Gautam Shah's NPI?
Dr. Gautam Shah's National Provider Identifier (NPI) is 1063859502, issued by NPPES.
Does Dr. Gautam Shah accept Medicare assignment?
Yes. Dr. Gautam Shah accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Gautam Shah commonly perform?
Top Medicare-reported procedures in 2023: Subsequent hospital care with moderate levelof medical decision making (HCPCS 99233); Hospital discharge day management (HCPCS 99239); Initial hospital care with moderate level of medical decision making (HCPCS 99223). Source: CMS Medicare Physician & Other Practitioners file.