Skip to main content
UniHealth

Doctor search

Nandi Mukesh Shah, MD

Endocrinology · La Jolla

NPI 1538690235

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Offices
3

Offices

3 locations · Regents of the University of California · 2,047 clinicians in this group

Looking this up.

Hospitals listed: UC San Diego Health Hillcrest - Hillcrest Med Ctr. That is not proof they admit you there this week.

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dr. Shah’s office at (858) 657-7000 to ask if they take your plan before you enroll.

California Medical Board record

Licence A160950 · Current

Licensed to practise in California · since 2019 · expires 2027-02-28 · University of Southern California Keck School of Medicine.

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

Hospitals they work in

1 hospital

These rate the hospital, not this clinician. Most measures at most hospitals are no different from the national rate.

  • UC San Diego Health Hillcrest - Hillcrest Med CtrSan Diego, CAAcute Care Hospital · Voluntary non-profit - Other · Has an emergency department · Birthing-friendlyPart of University of California Health, which runs 12 hospitalsHome of Moores Comprehensive Cancer Center, a National Cancer Institute designated comprehensive cancer centrePatients rate it 3 of 5 · 75% would definitely recommend it
    Overall rating: 5 of 5 starsBetter than the national rate — Death rate among surgical inpatients with serious treatable complications: 105.39 (74.34 to 136.44) · 381 cases, Jul 2022 – Jun 2024Better than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.597, Oct 2024 – Sep 2025Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.618, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.375, Oct 2024 – Sep 2025Better than the national rate — SSI - Colon Surgery: 0.376, Oct 2024 – Sep 2025
See every measure and the patient survey for UC San Diego Health Hillcrest - Hillcrest Med Ctr

Behind the star rating — Deaths: 6 better, 2 the same, 0 worse of 8 measures. Safety: 3 better, 5 the same, 0 worse of 8 measures. Readmissions: 1 better, 8 the same, 2 worse of 11 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at UC San Diego Health Hillcrest - Hillcrest Med Ctr
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths105.39 (74.34 to 136.44) · 381 casesBetterJul 2022 – Jun 2024
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.597BetterOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.618BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.375BetterOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0.376BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths0.83 (0.11 to 1.54) · 3,862 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.02 (0.84 to 1.2)No differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths1.4 · 130 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths6.2 · 116 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths9.1 · 183 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths7.8 · 510 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths11 · 696 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths9.4 · 435 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths2.1 · 5,739 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.15 (0 to 0.32) · 12,387 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.27 (0.1 to 0.44) · 13,596 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths4.59 (3.24 to 5.94) · 4,389 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.04 (0 to 2.12) · 2,419 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.26 (1.23 to 3.29) · 4,116 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths9.93 (6.61 to 13.25) · 2,232 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths7.31 (5.24 to 9.38) · 2,410 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths2.32 (1.07 to 3.56) · 1,286 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.38 (0.02 to 0.75) · 11,838 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths3.5 · 181 casesNoneApr 2023 – Mar 2025
MRSA BacteremiaInfections0.716No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections0.672No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits14.5 · 302 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits19.3 · 891 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits3.8 · 216 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits5.9 · 620 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits12 · 731 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits15.7 · 946 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.9 (4.8 to 7) · 1,507 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits12.3 (10.7 to 14) · 1,507 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits7.1 · 191 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits9.7 · 177 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits19.7 · 204 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits10.4 (8.5 to 13) · 4,116 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.9 (0.7 to 1) · 2,130 casesNo differentJan 2024 – Dec 2024

What patients said (3,680 patients answered, 16% of those asked)

Patient survey stars by topic at UC San Diego Health Hillcrest - Hillcrest Med Ctr
Cleanliness3
Nurse communication3
Doctor communication3
Communication about medicines3
Discharge information4
Overall hospital rating4
Quietness2
Recommend hospital4
Share of patients giving the best answer at UC San Diego Health Hillcrest - Hillcrest Med Ctr
Room was "always" clean66%
Nurses "always" communicated well79%
Doctors "always" communicated well79%
Staff "always" explained61%
Yes, staff "did" give patients this information88%
Yes, staff "did" give patients information about help after discharge87%
Doctors "always" explained things so they could understand75%
Doctors "always" listened carefully78%
Doctors "always" treated them with courtesy and respect86%
Patients who gave a rating of "9" or "10" (high)73%
Staff "always" explained new medications73%
Nurses "always" explained things so they could understand75%
Nurses "always" listened carefully75%
Nurses "always" treated them with courtesy and respect86%
"Always" quiet at night49%
"YES", patients would definitely recommend the hospital75%
Staff "always" explained possible side effects48%
Yes, staff "did" give patients information about possible symptoms88%

Original Medicare doctor bills

$32,293

Medicare paid this office $32,293 for 153 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
New patient visit (45+ min)77$10,474$136
Return visit (30+ min)59$8,062$109
New patient visit (60+ min)42$6,880$164
Long return visit (40+ min)22$3,386$147
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's116$2,371$13

Who their Medicare patients are

153 Original Medicare patients in 2024. Average age 72 · Under 65 13% · 85 and older 9% · Women 75% · Also on Medicaid 18% · Health risk score 1.72. Above the middle of the specialty; the typical endocrinology clinician is at 1.46.

Conditions among them: High blood pressure 56% · Depression 33% · Diabetes 28% · Chronic kidney disease 27% · Coronary heart disease 25% · Heart failure 16% · Cancer 16% · COPD 14% · Atrial fibrillation 12% · Stroke 9%.

The office billed $144,981, Medicare allowed $42,186 and paid $32,293; for 422 services of 11 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
2024153422721.72$144,981$32,293
20212899732.81$20,685$6,626
202049137672.71$38,901$10,474

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2021: 2 services

Original Medicare services billed in 2021
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes14$3,711$88
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes13$1,181$30

2020: 3 services

Original Medicare services billed in 2020
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes26$4,489$94
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes16$2,768$63
Hospital discharge day management, more than 30 minutes21$1,948$93

Medicaid work

$1,114 in 2021

Medicaid paid $1,114 for 45 billed services this clinician did in 2021, up to 13 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 2021
SBSQ HOSPITAL IP/OBS CARE SF/LOW MDM 25 MINUTES45$1,114
Medicaid work by year
202145113$1,114
202029114$550
See the largest Medicaid services in earlier years

2020

Largest Medicaid services in 2020
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES29$550

Drugs they prescribed that Part D paid

$169,363

Pharmacies billed $169,363 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

Opioids were 0% of their Part D prescriptions (0 of 300) in 2024. At or below the middle of the specialty; the typical endocrinology clinician is at 0%.

134 generic and 140 brand-name prescriptions · $169,363 in drug cost.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Largest Part D drug costs
Tymlos19$44,831$2,360
Teriparatide16$29,633$1,852
Ozempic21$20,096$957
Jardiance12$16,085$1,340
Hydrocortisone17$964$57
See all 8 drugs
Every Part D drug this clinician prescribed
Tymlos19$44,831$2,360
Teriparatide16$29,633$1,852
Ozempic21$20,096$957
Jardiance12$16,085$1,340
Hydrocortisone17$964$57
Levothyroxine32$550$17
Methimazole13$189$15
Metformin Hcl Er15$162$11

Year by year

Part D prescribing by year
20243001010% (0)47%$169,363
202333None0% (0)None$16,789
202259160% (0)None$24,039
202131160% (0)None$7,609
202060240% (0)None$5,932

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2022: 1 drug

Part D drugs prescribed in 2022
Alendronate17$271$16

Professional record

NPI
1538690235
Licence
CA A160950California A160950: Current · expires 2027-02-28
Trained
University of Southern California Keck School of Medicine, 2017
Video visits
Lists video visits
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 207RE0101X (207RE0101X)
Mailing address
1800 Harrison St Fl 7, Oakland, CA, 94612
NPI first listed
2017-03-23
NPI last updated
2023-11-13
NPI record certified
2023-11-13

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

Extra NPI addresses: 200 W Arbor Dr, San Diego, CA, 92103 · 200 W Arbor Dr # 8829, San Diego, CA, 92103 · 4077 Fifth Ave, San Diego, CA, 92103 · 300 Pasteur Dr Rm Hc 435, Stanford, CA, 94305