Nihita Pravin Shah
NPI 1578700340ActiveIndividual· Family Medicine· Tracy, CA
Family Medicine with Sutter Valley Medical Foundation, practicing in Tracy, California. Their prescriptions cost Medicare Part D more than their services did: $28,431 for 394 claims, against $15,413 paid for services in 2024. Genzyme Corporation reported $114.85 in payments in 2025, mostly food and beverage. Lists Memorial Medical Center and 1 other hospital as hospital affiliations.
Overview
| NPI | 1578700340 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jan 14, 2009 |
| Last updated in NPPES | Sep 9, 2024 |
| Certified by provider | Sep 9, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | C134456 | CA |
| Family Medicine | 207Q00000X | BP10030091 | TX |
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 (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 83 |
|---|---|
| Services billed | 205 across 19 procedure codes |
| Paid by Medicare | $15,413 |
Part D prescriptions in 2024
| Prescriptions (claims) | 394 · 875 30-day fills |
|---|---|
| Patients | 97 |
| Total drug cost | $28,431 |
| Generic share | 81% of claims |
Education and affiliations
| Graduation year | 2004 |
|---|---|
| Medicare specialty | Family Practice |
| Telehealth | Offers telehealth |
Medical group
- Sutter Valley Medical FoundationModesto, CA · 2,500 clinicians
Hospital affiliations
- Memorial Medical CenterModesto, CA
- Sutter Tracy Community HospitalTracy, CA
Other facilities
- Sutter Care at HomeHome health agency · Salida, CA
Industry payments (Open Payments)
- 2025$114.85 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Genzyme Corporation | $114.85 | 1 |
What the 2025 payments were for
- Food and Beverage$114.85 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 40 family medicine physicians in Tracy · All family medicine physicians in California