Nihar U. Shah, MD
NPI 1285998609ActiveIndividual· Internal Medicine, Gastroenterology· Berkeley, CA
Internal Medicine, Gastroenterology (MD) with Sutter Bay Medical Foundation, practicing in Berkeley, California. Their prescriptions cost Medicare Part D more than their services did: $170,208 for 364 claims, against $64,013 paid for services in 2024. Madrigal Pharmaceuticals was the largest of 14 companies reporting payments in 2025, $32,956 in all, mostly speaking and faculty fees. Lists Alta Bates Summit Medical Center and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1285998609 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jun 29, 2012 |
| Last updated in NPPES | Jan 29, 2021 |
| Certified by provider | Jan 29, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Gastroenterology Primary | 207RG0100X | 989517 | CA |
| Internal Medicine, Hepatology | 207RI0008X | A133210 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Gastroenterology (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 312 |
|---|---|
| Services billed | 516 across 24 procedure codes |
| Paid by Medicare | $64,013 |
Part D prescriptions in 2024
| Prescriptions (claims) | 364 · 539 30-day fills |
|---|---|
| Patients | 164 |
| Total drug cost | $170,208 |
| Generic share | 79% of claims |
Education and affiliations
| Graduation year | 2007 |
|---|---|
| Medicare specialty | Gastroenterology |
| Telehealth | Offers telehealth |
Medical group
- Sutter Bay Medical FoundationFremont, CA · 3,829 clinicians
Hospital affiliations
- Alta Bates Summit Medical CenterOakland, CA
- Alta Bates Summit Medical Center - Alta Bates CampBerkeley, CA
- Eden Medical CenterCastro Valley, CA
Industry payments (Open Payments)
- 2025$32,956 · 69 payments from 14 companies
- 2024$18,450 · 35 payments from 7 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Madrigal Pharmaceuticals | $32,078 | 39 |
| Abbvie Inc. | $165.73 | 4 |
| Janssen Biotech, Inc. | $141.32 | 6 |
| Takeda Pharmaceuticals U.S.A., Inc. | $109.26 | 4 |
| Boston Scientific Corporation | $99.11 | 1 |
What the 2025 payments were for
- Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$28,060 · 8 payments
- Food and Beverage$2,112 · 49 payments
- Travel and Lodging$1,816 · 11 payments
- Consulting Fee$967.50 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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