Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gautam J Shah, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1063859502

Gautam J Shah, MD is an Internal Medicine in Encinitas, California. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 2013, 13 years ago. Practices with North County Inpatient Medical Alliance, a Medical Group, Inc, a 45-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
13
Trained at
University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
Licensed in
CA
In the registry since
2013
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Encinitas, CA
Fax: (760) 230-2253

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence A133106 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (CA)

Record details

NPI number1063859502
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 23, 2013
Last updated in NPPESMay 23, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolUNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated 2013 (13 years in practice)
Group practice North County Inpatient Medical Alliance, A Medical Group, Inc — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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