Nirali Ketan Shah, MD

1 location · Permanente Medical Group Inc · 10,928 clinicians in this group

Hospitals listed: Kaiser Foundation Hospital - Oakland/Richmond. That is not proof they admit you there this week.

Licence A181811 · Current

Licensed to practise in California · since 2022 · expires 2028-09-30 · University of Cincinnati College of Medicine.

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.

1 hospital

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

• Kaiser Foundation Hospital - Oakland/RichmondOakland, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Kaiser Permanente, which runs 41 hospitals in 3 statesPatients rate it 3 of 5 · 72% would definitely recommend it
  Overall rating: 2 of 5 starsWorse than the national rate — SSI - Colon Surgery: 2.203, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.334, Oct 2024 – Sep 2025

$11,511

Medicare paid this office $11,511 for 54 people.

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

Who their Medicare patients are

54 Original Medicare patients in 2024. Average age 74 · Women 56% · Also on Medicaid 76% · Health risk score 3.30. Sicker patients than 9 in 10 peers; the typical hospitalist clinician is at 2.49.

Conditions among them: High blood pressure 75% · Coronary heart disease 54% · Diabetes 50% · Chronic kidney disease 50% · Heart failure 44% · Depression 43% · COPD 41% · Stroke 35% · Atrial fibrillation 30% · Dementia 26%.

The office billed $31,457, Medicare allowed $14,448 and paid $11,511; for 148 services of 9 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.

$1,530 in 2024

Medicaid paid $1,530 for 105 billed services this clinician did in 2024, up to 16 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.

$61,555

Pharmacies billed $61,555 in 2024.

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

Opioids were 2% of their Part D prescriptions (17 of 694) in 2024. At or below the middle of the specialty; the typical hospitalist clinician is at 4%.

592 generic and fewer than 11 brand-name prescriptions · $61,555 in drug cost · 39 antibiotic prescriptions to 31 people.

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.

Year by year

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

$25 in 2022

A payment is not proof that care is biased.

NPI

1740742675

Licence

CA 181811California A181811: Current · expires 2028-09-30

Trained

Cincinnati College of Medicine and Surgery, 2019

Group

Permanente Medical Group Inc

Gender

Female