Gautam J. Shah, M. D.
NPI 1063859502ActiveIndividual· Internal Medicine· Encinitas, CA
Internal Medicine (M. D.) in Encinitas, California, trained at University of Illinois College of Med (Chi/Peor/Rock/Chm-Urb) (class of 2013). 371 Medicare patients in 2024, $83,229 paid; nearly all of their 438 Part D prescriptions were generic (94%). Boston Scientific Corporation reported $13.99 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1063859502 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M. D. |
| Sole proprietor | No |
| NPI issued | May 23, 2013 |
| Last updated in NPPES | May 23, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | A133106 | CA |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 371 |
|---|---|
| Services billed | 914 across 6 procedure codes |
| Paid by Medicare | $83,229 |
Part D prescriptions in 2024
| Prescriptions (claims) | 438 · 476 30-day fills |
|---|---|
| Patients | 210 |
| Total drug cost | $18,550 |
| Generic share | 94% of claims |
Education and affiliations
| Medical school | University of Illinois College of Med (Chi/Peor/Rock/Chm-Urb) |
|---|---|
| Graduation year | 2013 |
| Medicare specialty | Internal Medicine |
Medical group
- North County Inpatient Medical Alliance, A Medical Group, IncEncinitas, CA · 45 clinicians
Hospital affiliation
- Scripps Memorial Hospital - EncinitasEncinitas, CA
Industry payments (Open Payments)
- 2025$13.99 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Boston Scientific Corporation | $13.99 | 1 |
What the 2025 payments were for
- Food and Beverage$13.99 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 81 internal medicine physicians in Encinitas · All internal medicine physicians in California