Sagar Kamlesh Shah, MD
NPI 1164780052ActiveIndividual· Family Medicine· Encinitas, CA
Family Medicine (MD) with North Coast Family Medical Group, practicing in Encinitas, California. Their prescriptions cost Medicare Part D more than their services did: $485,952 for 5,039 claims, against $98,172 paid for services in 2024. Sanofi Pasteur Inc. reported $24.26 in payments in 2025, mostly food and beverage. Lists Scripps Memorial Hospital - Encinitas and 1 other hospital as hospital affiliations.
Overview
| NPI | 1164780052 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Apr 27, 2012 |
| Last updated in NPPES | Jan 13, 2022 |
| Certified by provider | Jan 13, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | A171687 | CA |
| Family Medicine | 207Q00000X | 62697 | WI |
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 - Family Practice (CA); Practitioner - Family Practice (HI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 405 |
|---|---|
| Services billed | 1,970 across 57 procedure codes |
| Paid by Medicare | $98,172 |
Part D prescriptions in 2024
| Prescriptions (claims) | 5,039 · 10,775 30-day fills |
|---|---|
| Patients | 645 |
| Total drug cost | $485,952 |
| Generic share | 86% of claims |
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Family Practice |
| Telehealth | Offers telehealth |
Medical group
- North Coast Family Medical GroupEncinitas, CA · 11 clinicians
Hospital affiliations
- Scripps Memorial Hospital - EncinitasEncinitas, CA
- Uc San Diego Health Hillcrest - Hillcrest Med CtrSan Diego, CA
Other facilities
- Seaport Scripps Home HealthHome health agency · San Diego, CA
Industry payments (Open Payments)
- 2025$24.26 · 1 payment from 1 company
- 2024$15.15 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Sanofi Pasteur Inc. | $24.26 | 1 |
What the 2025 payments were for
- Food and Beverage$24.26 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 75 family medicine physicians in Encinitas · All family medicine physicians in California