Siddharth Shah, is a medicare enrolled "Physician Assistant" physician in Rocklin, California. His current practice location is
2203 Plaza Dr Ste 110, Rocklin, California. You can reach out to his office (for appointments etc.) via phone at
(916) 938-2531.
Siddharth Shah is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1275261729.
Physician's Profile
| Full Name | Siddharth Shah |
|---|
| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 2203 Plaza Dr Ste 110, Rocklin, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1275261729
- Provider Enumeration Date: 08/11/2022
- Last Update Date: 10/10/2025
Medicare PECOS Information:
- PECOS PAC ID: 7214311497
- Enrollment ID: I20220907002983
Medical Identifiers
Medical identifiers for Siddharth Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1275261729 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207N00000X | Dermatology | PA61439 (California) | Secondary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Siddharth Shah is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Siddharth Shah, 2203 Plaza Dr Ste 110, Rocklin, CA 95765-4427 Ph: (916) 938-2531 | Siddharth Shah, 2203 Plaza Dr Ste 110, Rocklin, CA 95765-4427 Ph: (916) 938-2531 |
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