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Sonia Shah, MD

Cardiovascular Disease (Cardiology) · Burlingame

NPI 1871982744

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
11

Offices

11 locations · Sutter Bay Medical Foundation · 3,783 clinicians in this group

Looking this up.

Hospitals listed: Mills-Peninsula Medical Center. 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 to ask if they take your plan before you enroll.

California Medical Board record

Licence A150922 · Current

Licensed to practise in California · since 2017 · expires 2027-08-31 · Northwestern University Feinberg 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.

  • Peninsula Medical CenterBurlingame, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Sutter Health, which runs 27 hospitals in 2 statesPatients rate it 4 of 5 · 78% would definitely recommend it
    Overall rating: 5 of 5 starsBetter than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.139, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.242, Oct 2024 – Sep 2025
See every measure and the patient survey for Peninsula Medical Center

Behind the star rating — Deaths: 2 better, 6 the same, 0 worse of 8 measures. Safety: 2 better, 5 the same, 0 worse of 7 measures. Readmissions: 0 better, 10 the same, 1 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 Peninsula Medical Center
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.139BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.242BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.21 (0.27 to 2.15) · 1,258 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.81 (0.51 to 1.1)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths155.44 (112.67 to 198.21) · 90 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2.5 · 32 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths7.1 · 82 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths10 · 188 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths9 · 473 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths14.8 · 342 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths9.4 · 485 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths2.9 · 3,730 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.2 (0 to 0.4) · 6,904 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.21 (0.02 to 0.4) · 7,052 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.41 (1.43 to 5.39) · 1,695 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.72 (0.17 to 3.28) · 665 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.11 (0.66 to 3.56) · 1,545 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths7.1 (1.3 to 12.9) · 670 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths5.96 (2.63 to 9.29) · 653 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.61 (0.15 to 3.08) · 418 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.14 (0 to 0.78) · 5,539 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths3.7 · 192 casesNoneApr 2023 – Mar 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.215No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0.263No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0.74No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits14.3 · 300 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits19 · 702 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits1.2 · 207 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-13.6 · 531 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits24.3 · 343 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits18.1 · 449 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits4.5 (2.8 to 7) · 85 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits9.6 (6.7 to 13.7) · 85 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.7 · 189 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits11 · 45 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.6 · 117 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13 (9.7 to 17.2) · 584 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.9 (0.7 to 1.2) · 764 casesNo differentJan 2024 – Dec 2024

What patients said (523 patients answered, 27% of those asked)

Patient survey stars by topic at Peninsula Medical Center
Cleanliness4
Nurse communication4
Doctor communication4
Communication about medicines3
Discharge information4
Overall hospital rating4
Quietness3
Recommend hospital5
Share of patients giving the best answer at Peninsula Medical Center
Room was "always" clean76%
Nurses "always" communicated well81%
Doctors "always" communicated well80%
Staff "always" explained58%
Yes, staff "did" give patients this information89%
Yes, staff "did" give patients information about help after discharge87%
Doctors "always" explained things so they could understand74%
Doctors "always" listened carefully79%
Doctors "always" treated them with courtesy and respect87%
Patients who gave a rating of "9" or "10" (high)75%
Staff "always" explained new medications72%
Nurses "always" explained things so they could understand77%
Nurses "always" listened carefully79%
Nurses "always" treated them with courtesy and respect88%
"Always" quiet at night54%
"YES", patients would definitely recommend the hospital78%
Staff "always" explained possible side effects44%
Yes, staff "did" give patients information about possible symptoms90%

Original Medicare doctor bills

$173,145

Medicare paid this office $173,145 for 842 people.

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

Largest Original Medicare bills
Return visit (30+ min)332$43,864$114
Initial hospital care with moderate level of medical decision making at least 75 minutes137$19,099$137
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes107$18,079$102
Long return visit (40+ min)102$17,479$149
New patient visit (45+ min)98$13,875$142
See all 25 services
Every Original Medicare service billed
Return visit (30+ min)332$43,864$114
Initial hospital care with moderate level of medical decision making at least 75 minutes137$19,099$137
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes107$18,079$102
Long return visit (40+ min)102$17,479$149
New patient visit (45+ min)98$13,875$142
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function52$8,533$164
Critical care, first 30-74 minutes34$8,347$178
Ultrasound of heart with probe in esophagus, with report63$5,847$91
Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report26$5,748$213
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's264$4,511$15
External shock to heart to regulate heart beat42$4,194$93
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function67$3,836$57
New patient visit (60+ min)23$3,813$166
Short return visit (20+ min)20$1,571$79
3d radiographic procedure with computerized image postprocessing42$1,401$33
Telephone medical discussion with physician, 21-30 minutes12$1,268$98
Ultrasound of heart with color-depicted blood flow, rate and valve function26$657$24
Ultrasound of heart blood flow, valves and chambers, follow-up25$654$25
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician29$537$19
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes36$374$10
Ultrasound of heart, follow-up14$328$22
Ultrasound of heart blood flow, valves and chambers16$251$16
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report17$192$11
Ultrasound of heart with color-depicted blood flow, rate and valve function49$138$3
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only17$128$7

Who their Medicare patients are

842 Original Medicare patients in 2024. Average age 79 · Under 65 2% · 85 and older 28% · Women 53% · Also on Medicaid 10% · Health risk score 1.75. Above the middle of the specialty; the typical cardiology clinician is at 1.71.

Conditions among them: High blood pressure 75% · Coronary heart disease 50% · Atrial fibrillation 48% · Heart failure 42% · Chronic kidney disease 39% · Diabetes 37% · COPD 19% · Cancer 18% · Depression 18% · Stroke 13% · Dementia 11%.

The office billed $771,458, Medicare allowed $235,625 and paid $173,145; for 1,969 services of 47 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
20248421,969791.75$771,458$173,145
20238211,772791.62$731,450$170,346
2022107183781.35$84,386$20,988

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

2023: 25 services

Original Medicare services billed in 2023
Long return visit (40+ min)180$32,951$146
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function144$28,169$190
Return visit (30+ min)232$27,155$111
Initial hospital care with moderate level of medical decision making at least 75 minutes102$15,910$146
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes94$15,485$104
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function118$7,144$61
New patient visit (45+ min)52$7,010$135
Critical care, first 30-74 minutes23$5,309$177
Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report21$4,505$215
New patient visit (60+ min)24$4,478$187
External shock to heart to regulate heart beat50$4,361$86
Ultrasound of heart with probe in esophagus, with report43$4,248$92
Telephone medical discussion with physician, 21-30 minutes19$1,689$84
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report113$1,447$12
3d radiographic procedure with computerized image postprocessing23$777$34
Ultrasound of heart, follow-up29$662$22
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only72$618$7
Heart rhythm review and interpretation of continous external ekg over 8-15 days23$529$23
Ultrasound of heart with color-depicted blood flow, rate and valve function17$450$25
Ultrasound of heart blood flow, valves and chambers, follow-up16$441$26
Heart rhythm recording of continous external ekg over 8-15 days23$297$13
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician14$264$19
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes24$254$11
Ultrasound of heart blood flow, valves and chambers, follow-up20$131$6
Ultrasound of heart with color-depicted blood flow, rate and valve function34$96$3

2022: 6 services

Original Medicare services billed in 2022
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes21$3,231$83
New patient visit (60+ min)13$2,628$202
New patient visit (45+ min)14$2,145$153
Initial hospital care with moderate level of medical decision making at least 75 minutes12$2,080$173
Long return visit (40+ min)12$2,000$167
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function16$992$62

Medicaid work

$4,353 in 2024

Medicaid paid $4,353 for 96 billed services this clinician did in 2024, up to 22 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
Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography23$1,855
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES35$1,140
1ST HOSP IP/OBS HIGH 7512$893
Return visit (30+ min)26$464
Medicaid work by year
202496422$4,353
202389218$4,108
202214112$1,160
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography50$3,016
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES39$1,092

2022

Largest Medicaid services in 2022
Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography14$1,160

Drugs they prescribed that Part D paid

$929,923

Pharmacies billed $929,923 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 4,807) in 2024. At or below the middle of the specialty; the typical cardiology clinician is at 0%.

4,118 generic and 689 brand-name prescriptions · $929,923 in drug cost · 13 antibiotic prescriptions.

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
Eliquis296$433,580$1,465
Entresto97$105,711$1,090
Xarelto45$73,847$1,641
Jardiance58$73,421$1,266
Repatha Sureclick53$61,259$1,156
See all 47 drugs
Every Part D drug this clinician prescribed
Eliquis296$433,580$1,465
Entresto97$105,711$1,090
Xarelto45$73,847$1,641
Jardiance58$73,421$1,266
Repatha Sureclick53$61,259$1,156
Ozempic18$25,958$1,442
Praluent19$18,027$949
Farxiga15$16,505$1,100
Atorvastatin618$10,405$17
Rosuvastatin339$8,595$25
Metoprolol395$6,355$16
Ezetimibe163$5,137$32
Dabigatran Etexilate12$4,122$343
Losartan251$2,997$12
Diltiazem 24hr Er (Cd)96$2,887$30
Carvedilol205$2,649$13
Amlodipine Besylate297$2,490$8
Amiodarone38$2,367$62
Irbesartan97$2,296$24
Furosemide308$1,894$6
Valsartan48$1,656$35
Clopidogrel82$1,520$19
Spironolactone124$1,446$12
Isosorbide Mononitrate Er46$1,273$28
Nebivolol28$1,261$45
Hydralazine90$1,256$14
Valsartan-Hydrochlorothiazide15$1,136$76
Torsemide35$954$27
Bisoprolol32$904$28
Losartan-Hydrochlorothiazide34$869$26
Lisinopril110$745$7
Flecainide Acetate14$640$46
Spironolactone-Hctz16$532$33
Metoprolol105$496$5
Olmesartan Medoxomil28$485$17
Pravastatin39$445$11
Diltiazem20$403$20
Hydrochlorothiazide106$356$3
Chlorthalidone22$305$14
Verapamil Er13$277$21
Potassium Chloride28$258$9
Pantoprazole11$201$18
Nitroglycerin19$190$10
Benazepril22$140$6
Triamterene-Hydrochlorothiazid15$120$8
Simvastatin14$81$6
Atenolol13$69$5

Year by year

Part D prescribing by year
20244,8077110% (0)14%$929,923
20232,5295170% (0)15%$542,077
2022183520% (0)22%$38,677
2021107250% (0)25%$22,390
201912None0% (0)None$4,096

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

See the drugs prescribed each year

2023: 37 drugs

Part D drugs prescribed in 2023
Eliquis148$203,281$1,374
Jardiance40$55,664$1,392
Entresto38$45,030$1,185
Xarelto28$43,684$1,560
Farxiga16$27,422$1,714
Repatha Sureclick19$23,996$1,263
Trulicity11$22,577$2,052
Ozempic11$17,403$1,582
Rosuvastatin181$7,715$43
Metoprolol209$5,445$26
Atorvastatin298$5,130$17
Ezetimibe50$2,649$53
Amlodipine Besylate190$2,484$13
Irbesartan53$2,341$44
Losartan114$1,829$16
Carvedilol111$1,599$14
Furosemide159$1,406$9
Diltiazem 24hr Er (Cd)37$1,374$37
Spironolactone90$1,340$15
Valsartan18$1,316$73
Hydralazine57$1,135$20
Amiodarone24$872$36
Lisinopril63$846$13
Bisoprolol19$805$42
Torsemide23$762$33
Isosorbide Mononitrate Er21$748$36
Clopidogrel31$742$24
Losartan-Hydrochlorothiazide23$651$28
Spironolactone-Hctz14$532$38
Chlorthalidone25$507$20
Potassium Chloride16$448$28
Olmesartan Medoxomil12$443$37
Metoprolol45$303$7
Hydrochlorothiazide54$221$4
Pravastatin11$181$16
Nitroglycerin12$171$14
Atenolol11$84$8

2022: 6 drugs

Part D drugs prescribed in 2022
Jardiance15$20,476$1,365
Atorvastatin24$340$14
Carvedilol12$181$15
Spironolactone13$163$13
Metoprolol12$142$12
Losartan16$82$5

2021: 1 drug

Part D drugs prescribed in 2021
Entresto15$9,290$619

Money from drug and device companies

$343 in 2025

Industry payments by year
202511None$343
202433None$161
202211None$18

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
HeartflowFfrct$343
1 payment
  • Meals for Ffrct · 2025-06-26 · $343
See the published payment
Every published payment
HeartflowMeals · 2025-06-26Ffrct$343
See earlier years (2024, 2022)

2024: $161

Payments by company in 2024
Boston ScientificWatchman Flx$103
1 payment
  • Meals for Watchman Flx · 2024-09-19 · $103
E.R. Squibb & Sons L.L.C.Camzyos$30
1 payment
  • Meals for Camzyos · 2024-07-24 · $30
AltaThera PharmaceuticalsSotalol Hydrochloride$28
1 payment
  • Meals for Sotalol Hydrochloride · 2024-10-28 · $28

2022: $18

Payments by company in 2022
AstraZeneca Pharmaceuticals LPFarxiga$18
1 payment
  • Meals for Farxiga · 2022-10-04 · $18

Professional record

NPI
1871982744
Licence
CA A150922California A150922: Current · expires 2027-08-31
Video visits
Lists video visits
Gender
Female
More record details
Sole proprietor
Yes
Taxonomy
Cardiology (207RC0000X); Student in a training program (390200000X)
Mailing address
325 Distel Cir, Los Altos, CA, 94022
NPI first listed
2015-01-15
NPI last updated
2022-10-13
NPI record certified
2022-10-13

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

Extra NPI addresses: 300 Pasteur Dr, Stanford, CA, 94305