Doctor profile · Federal record
Dr. Ketan Shah, M.D., M.B.A.
Gastroenterology Physician (CMS: Gastroenterology) · Internal Medicine Physician · Orange, CA
- NPI 1629244652
- Accepts Medicare
- MIPS 61.5 / 100 · 2023
- 14 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
1100 W Town and Country RD Ste 1250
Orange, CA 928684633
(949) 744-5441
fax (949) 266-1661 - Additional location
-
1206 E 17Th St Ste 101
Santa Ana, CA 927012641
(714) 352-2911
fax (714) 352-2903
Credentials & registration
- NPI registered
- April 2008 — 18 yrs on file
- Profile last updated
- August 18, 2025
- Year of graduation
- 2012 — 14 yrs since
- Specialty taxonomy
- 207RG0100X — NUCC code
- State license (1)
- California #A120437
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1629244652. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,244
Distinct HCPCS
10
Medicare allowed
$156,533
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 238 | 171 | $156 | |
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 227 | 81 | $85 | |
G0500 |
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito | 171 | 168 | $6 | |
45385 |
Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 156 | 156 | $267 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 131 | 113 | $105 | |
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 88 | 86 | $186 | |
43239 |
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 80 | 77 | $106 | |
45380 |
Biopsy of large bowel using a flexible endoscope | 48 | 48 | $83 | |
99205 |
New patient office or other outpatient visit, 60-74 minutes | 48 | 48 | $197 | |
36415 |
Insertion of needle into vein for collection of blood sample | 22 | 18 | $8 |
In context: peer comparison
Among 16 peers in Orange Gastroenterology Physician, average services per provider: 65. This provider delivers 19× the peer median.Open Payments
Industry payments received
All-time total
$5,262
Transactions
14
Manufacturers
5
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Merit Medical Systems INC | 3 | $4,900.26 | |
| Abbvie INC. | 7 | $188.06 | |
| Boston Scientific Corporation | 1 | $125.00 | |
| Janssen Biotech, INC. | 2 | $32.01 | |
| Genmab U.S., INC. | 1 | $16.70 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
376
Patients
202
Total drug cost
$37,054
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Omeprazole | Generic | 159 | 66 | $2,870 |
| Sod Sulf-Potass Sulf-Mag Sulf (Sodium, Potassium,Mag Sulfates) | Brand | 51 | 50 | $3,940 |
| Sutab (Sod Sulf/Pot Chloride/Mag Sulf) | Brand | 44 | 44 | $7,532 |
| Pantoprazole Sodium | Generic | 42 | 22 | $952 |
| Colesevelam Hcl | Generic | 21 | 0 | $2,968 |
| Gavilyte-G (Peg3350/Sod Sulf,Bicarb,Cl/Kcl) | Brand | 20 | 20 | $369 |
| Mesalamine | Generic | 16 | 0 | $17,111 |
| Balsalazide Disodium | Generic | 12 | 0 | $1,171 |
| Prednisone | Generic | 11 | 0 | $140 |
Frequently asked questions
What is Dr. Ketan Shah's medical specialty?
Dr. Ketan Shah practices Gastroenterology Physician in Orange, CA.
Where does Dr. Ketan Shah practice?
Dr. Ketan Shah practices at 1100 W Town and Country RD Ste 1250, Orange, CA 928684633. Office phone: 9497445441.
What is Dr. Ketan Shah's NPI?
Dr. Ketan Shah's National Provider Identifier (NPI) is 1629244652, issued by NPPES.
Does Dr. Ketan Shah accept Medicare assignment?
Yes. Dr. Ketan Shah accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Ketan Shah commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99215); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232); Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito (HCPCS G0500). Source: CMS Medicare Physician & Other Practitioners file.