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Swetang J Shah, MD

Pediatric Medicine · Gilroy

NPI 1053744375

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
12
1 carrier
Offices
2

Offices

2 locations · Bay Area Community Health · 106 clinicians in this group

Looking this up.

Plans that list them

12 plans · 1 carrier

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Shah’s office at (408) 729-9700 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

Plans whose provider directory lists this clinician
Alignment Health BreathEasy (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Clarity (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Harmony (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes CalPlus (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes Care (HMO C-SNP)Alignment Health PlanListedSep 28, 2026
Alignment Health Heart & Diabetes Choice (HMO C-SNP)Alignment Health PlanListedSep 28, 2026
Alignment Health Honor+ Plan (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health My Choice CalCare (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health Silicon (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health smartHMO (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health the ONE (HMO)Alignment Health PlanListedOct 3, 2026

California Medical Board record

Licence A136884 · Current

Licensed to practise in California · since 2015 · expires 2028-09-30 · Maharashtra University of Health Sciences, Ndmvp Samaj'S Medical College.

Matched on the licence number without its letter prefix; check the name before relying on it.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

Medicaid work

$874,879 in 2024

Medicaid paid $874,879 for 11,833 billed services this clinician did in 2024, up to 310 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

Largest Medicaid services in 2024
Clinic visit/encounter, all-inclusive2,656$739,740
Other specified case management service not elsewhere classified683$60,441
Short return visit (20+ min)2,931$27,630
Return visit (30+ min)892$9,970
Developmental screening461$7,719
Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use199$5,601
Long return visit (40+ min)224$4,011
Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; late childhood (age 5 through 11 years)125$3,461
Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; early childhood (age 1 through 4 years)126$3,366
Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; infant (age younger than 1 year)198$2,590
Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to individuals 7 years or older, for intramuscular use82$2,093
Hepatitis B vaccine (HepB), CpG-adjuvanted, adult dosage, 2 dose or 4 dose schedule, for intramuscular use31$2,000
Medicaid work by year
202411,83340310$874,879
202314,27444471$1,255,129
202211,17234317$383,598
202113,09229271$465,677
202013,53225302$481,927
201912,35225383$562,826
20189,83719423$635,902
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Clinic visit/encounter, all-inclusive3,877$1,031,225
Other specified case management service not elsewhere classified1,084$169,280
Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, tetanus toxoid carrier (MenACWY-TT), for intramuscular use151$9,444
Short return visit (20+ min)3,416$8,448
Developmental screening248$5,543
Coordinated care fee, physician coordinated care oversight services128$5,121
Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; adolescent (age 12 through 17 years)162$3,588
Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent (9vHPV), 2 or 3 dose schedule, for intramuscular use207$3,085
Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use25$2,961
Return visit (30+ min)752$2,334
Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; late childhood (age 5 through 11 years)105$1,976
Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; infant (age younger than 1 year)146$1,578

2022

Largest Medicaid services in 2022
Clinic visit/encounter, all-inclusive2,549$379,159
Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant115$2,031
Short return visit (20+ min)2,087$864
Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter30$569
Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; infant (age younger than 1 year)552$438
Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use166$117
Short return visit1,160$98
Screening performed and negative327$87
Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; late childhood (age 5 through 11 years)222$87
Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; early childhood (age 1 through 4 years)469$37
Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use406$27
Screening test, pure tone, air only448$22

2021

Largest Medicaid services in 2021
Clinic visit/encounter, all-inclusive3,252$465,168
Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; early childhood (age 1 through 4 years)584$190
Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant100$102
Short return visit (20+ min)1,845$79
Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; infant (age younger than 1 year)534$71
Screening performed and negative786$29
Short return visit1,586$20
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza28$18
Measurement of lead142$0
HEMOGLOBIN266$0
Measurement of bilirubin70$0
Hepatitis A vaccine (HepA), pediatric/adolescent dosage-2 dose schedule, for intramuscular use110$0

2020

Largest Medicaid services in 2020
Clinic visit/encounter, all-inclusive3,472$481,848
Short return visit1,719$79
Measurement of lead181$0
HEMOGLOBIN401$0
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza103$0
Hepatitis A vaccine (HepA), pediatric/adolescent dosage-2 dose schedule, for intramuscular use161$0
Haemophilus influenzae type b vaccine, PRP-OMP conjugate228$0
Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use393$0
Rotavirus vaccine, pentavalent (RV5), 3 dose schedule, live, for oral use248$0
Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use453$0
DIPHTH TETANUS TOX ACELL PERTUSSIS VACC<7 YR IM55$0
Measles, mumps and rubella virus vaccine (MMR), live, for subcutaneous use36$0

2019

Largest Medicaid services in 2019
Clinic visit/encounter, all-inclusive4,161$562,192
Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter75$505
Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant37$103
Short return visit (20+ min)1,870$26
Measurement of lead231$0
HEMOGLOBIN397$0
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza83$0
Hepatitis A vaccine (HepA), pediatric/adolescent dosage-2 dose schedule, for intramuscular use231$0
Haemophilus influenzae type b vaccine, PRP-OMP conjugate148$0
Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use286$0
Rotavirus vaccine, pentavalent (RV5), 3 dose schedule, live, for oral use177$0
Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.25 mL dosage, for intramuscular use25$0

2018

Largest Medicaid services in 2018
Clinic visit/encounter, all-inclusive4,810$634,054
Short return visit (20+ min)1,652$709
Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; infant (age younger than 1 year)276$670
Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use277$86
Diphtheria, tetanus toxoids, acellular pertussis vaccine, hepatitis B, and inactivated poliovirus vaccine (DTaP-HepB-IPV), for intramuscular use161$86
Haemophilus influenzae type b vaccine, PRP-OMP conjugate137$77
Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; early childhood (age 1 through 4 years)396$74
Rotavirus vaccine, pentavalent (RV5), 3 dose schedule, live, for oral use104$68
Screening test, pure tone, air only224$33
Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use279$27
Hepatitis A vaccine (HepA), pediatric/adolescent dosage-2 dose schedule, for intramuscular use101$9
HEMOGLOBIN320$8

Money from drug and device companies

$681 in 2025

Industry payments by year
20251123None$681
20241025None$551
2023615None$314
201911None$106

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

Payments by company
Phadia USImmunocap$145
3 payments
  • Meals for Immunocap · 2025-04-09 · $85
  • Meals for Immunocap · 2025-02-28 · $49
  • Meals for Immunocap · 2025-01-17 · $11
Gilead SciencesNone$142
6 payments
  • Meals · 2025-10-30 · $21
  • Meals · 2025-09-12 · $9
  • Meals · 2025-08-05 · $19
  • Meals · 2025-07-22 · $34
  • Meals · 2025-07-22 · $24
  • Meals · 2025-04-29 · $35
PfizerPrevnar 20$91
3 payments
  • Meals for Abrysvo · 2025-10-13 · $25
  • Meals for Prevnar 20 · 2025-08-18 · $28
  • Meals for Prevnar 20 · 2025-06-17 · $38
Seqirus USAFlucelvax$65
2 payments
  • Meals for Flucelvax · 2025-11-11 · $34
  • Meals for Fluad · 2025-03-25 · $31
GlaxoSmithKlineShingrix$51
2 payments
  • Meals for Shingrix · 2025-11-04 · $23
  • Meals for Shingrix · 2025-08-11 · $28
Exact SciencesCologuard Collection Kit$43
2 payments
  • Meals for Cologuard Collection Kit · 2025-07-29 · $21
  • Meals for Cologuard Collection Kit · 2025-05-19 · $22
See all 23 published payments
Every published payment
Seqirus USAMeals · 2025-11-11Flucelvax$34
GlaxoSmithKlineMeals · 2025-11-04Shingrix$23
Gilead SciencesMeals · 2025-10-30None$21
PfizerMeals · 2025-10-13Abrysvo$25
Gilead SciencesMeals · 2025-09-12None$9
PfizerMeals · 2025-08-18Prevnar 20$28
GlaxoSmithKlineMeals · 2025-08-11Shingrix$28
Gilead SciencesMeals · 2025-08-05None$19
Exact SciencesMeals · 2025-07-29Cologuard Collection Kit$21
Gilead SciencesMeals · 2025-07-22None$34
Gilead SciencesMeals · 2025-07-22None$24
Regeneron Healthcare SolutionsMeals · 2025-07-07Dupixent$21
PfizerMeals · 2025-06-17Prevnar 20$38
Dynavax TechnologiesMeals · 2025-06-09Heplisav-B$27
Exact SciencesMeals · 2025-05-19Cologuard Collection Kit$22
Gilead SciencesMeals · 2025-04-29None$35
Novo NordiskMeals · 2025-04-21Ozempic$28
Phadia USMeals · 2025-04-09Immunocap$85
Seqirus USAMeals · 2025-03-25Fluad$31
ViiV HealthcareMeals · 2025-03-14Apretude$34
Phadia USMeals · 2025-02-28Immunocap$49
Sanofi PasteurMeals · 2025-02-26Vaxelis$34
Phadia USMeals · 2025-01-17Immunocap$11
See earlier years (2024, 2023, 2019)

2024: $551

Payments by company in 2024
PfizerAbrysvo$155
7 payments
  • Meals for Prevnar 20 · 2024-10-29 · $26
  • Meals for Abrysvo · 2024-08-13 · $28
  • Meals for Comirnaty · 2024-07-02 · $40
  • Meals for Comirnaty · 2024-05-29 · $9
  • Meals for Comirnaty · 2024-02-21 · $7
  • Meals for Abrysvo · 2024-01-24 · $38
  • Meals for Comirnaty · 2024-01-09 · $7
Gilead SciencesNone$83
3 payments
  • Meals · 2024-11-26 · $34
  • Meals · 2024-10-01 · $33
  • Meals · 2024-03-09 · $16
Hologic Sales and ServiceAptima$70
3 payments
  • Meals for Aptima · 2024-12-04 · $17
  • Meals for Aptima · 2024-07-26 · $28
  • Meals for Aptima · 2024-06-20 · $25
Novo NordiskOzempic$58
3 payments
  • Meals for Ozempic · 2024-08-13 · $19
  • Meals for Wegovy · 2024-08-12 · $16
  • Meals for Ozempic · 2024-07-08 · $23
Merck Sharp & DohmeGardasil$53
2 payments
  • Meals for Gardasil · 2024-08-27 · $29
  • Meals for Gardasil · 2024-08-09 · $24
Exact SciencesCologuard Collection Kit$45
2 payments
  • Meals for Cologuard Collection Kit · 2024-11-13 · $24
  • Meals for Cologuard Collection Kit · 2024-07-17 · $21
Phadia USImmunocap$30
2 payments
  • Meals for Immunocap · 2024-09-24 · $16
  • Meals for Immunocap · 2024-05-21 · $14
Sanofi PasteurBeyfortus$29
1 payment
  • Meals for Beyfortus · 2024-12-10 · $29
GlaxoSmithKlineShingrix$15
1 payment
  • Meals for Shingrix · 2024-09-03 · $15
Dynavax TechnologiesHeplisav-B$14
1 payment
  • Meals for Heplisav-B · 2024-05-07 · $14

2023: $314

Payments by company in 2023
GlaxoSmithKlineArexvy$160
9 payments
  • Meals for Rotarix · 2023-12-05 · $2
  • Meals for Rotarix · 2023-12-05 · $14
  • Meals for Arexvy · 2023-08-29 · $9
  • Meals for Arexvy · 2023-08-29 · $1
  • Meals for Shingrix · 2023-08-29 · $3
  • Meals for Arexvy · 2023-08-29 · $7
  • Meals · 2023-06-14 · $115
  • Meals for Arexvy · 2023-05-16 · $5
  • Meals for Arexvy · 2023-05-15 · $3
Dynavax TechnologiesHeplisav-B$54
2 payments
  • Meals for Heplisav-B · 2023-10-31 · $21
  • Meals for Heplisav-B · 2023-07-07 · $32
Hologic Sales and ServiceThinprep 2000 Processor$29
1 payment
  • Meals for Thinprep 2000 Processor · 2023-10-19 · $29
PfizerAbrysvo$26
1 payment
  • Meals for Abrysvo · 2023-11-14 · $26
Sanofi PasteurBeyfortus$26
1 payment
  • Meals for Beyfortus · 2023-12-19 · $26
DexcomDexcom G6 Transmitter$19
1 payment
  • Meals for Dexcom G6 Transmitter · 2023-12-12 · $19

2019: $106

Payments by company in 2019
Merck Sharp & DohmeGardasil$106
1 payment
  • Meals for Gardasil · 2019-03-28 · $106

Professional record

NPI
1053744375
Licence
CA 136884California A136884: Current · expires 2028-09-30
Gender
Male
More record details
Sole proprietor
Yes
Taxonomy
Pediatrics (208000000X)
Mailing address
305 E Center Ave, Visalia, CA, 93291
NPI first listed
2013-08-11
NPI last updated
2025-12-30
NPI record certified
2025-12-30

This is when the NPI record was last certified, not a medical board exam.