| Amar Siddharth Shah, MD | |
|
39000 Bob Hope Dr, Rancho Mirage, CA 92270-3221 | |
| (760) 340-3911 | |
| (760) 837-8956 |
| Full Name | Amar Siddharth Shah |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 8 Years |
| Location | 39000 Bob Hope Dr, Rancho Mirage, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497313639 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A176576 (California) | Secondary |
| 208M00000X | Hospitalist | A176576 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Live Life Home Health Llc | La quinta, CA | Home health agency |
| Golden Palms Home Health Care Inc. | Rancho mirage, CA | Home health agency |
| Eisenhower Medical Center | Rancho mirage, CA | Hospital |
| Kaiser Foundation Hospital - Panorama City | Panorama city, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern California Permanente Medical Group | 6002729175 | 11250 |
| Eisenhower Medical Center | 5890689657 | 462 |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Entity Name | Eisenhower Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013981554 PECOS PAC ID: 5890689657 Enrollment ID: O20100506000102 |
| Entity Name | Saint Agnes Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558819482 PECOS PAC ID: 7618946369 Enrollment ID: O20170125002669 |
| Mailing Address | Practice Location Address |
|---|---|
| Amar Siddharth Shah, MD 39000 Bob Hope Dr, Rancho Mirage, CA 92270-3221 Ph: (760) 340-3911 | Amar Siddharth Shah, MD 39000 Bob Hope Dr, Rancho Mirage, CA 92270-3221 Ph: (760) 340-3911 |
Adam Roberts, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 39000 Bob Hope Dr, Rancho Mirage, CA 92270 Phone: 760-837-8905 Fax: 760-837-8956 |