Gaurav R Shah, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

ME115947 Issued in FL

Practice address

500 SE Osceola St
Ste 200
Stuart, FL 34994-2364

Phone

(772) 286-1550

Fax

(772) 221-0569

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nephrology

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Martin Memorial Medical Center IncGroup PAC ID 2961300611, 514 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Treasure Coast Kidney Center North Dialysis facility, Stuart, FL, CCN 102525
• Bma - Port Saint Lucie Dialysis facility, Port Saint Lucie, FL, CCN 102609
• Fresenius Kidney Care Port Salerno Dialysis facility, Stuart, FL, CCN 682694
• FMC - Tradition Dialysis facility, Port Saint Lucie, FL, CCN 102891
• Rai Care Centers - Port Saint Lucie Dialysis facility, Port Saint Lucie, FL, CCN 102603
• Cleveland Clinic Martin North Hospital Hospital, Stuart, FL, CCN 100044
• Cleveland Clinic Indian River Hospital Hospital, Vero Beach, FL, CCN 100105
• Tampa General Hospital Crystal River Hospital, Crystal River, FL, CCN 100249
• Encompass Health Rehab Hospital an Affiliate of Ma Inpatient rehabilitation facility, Stuart, FL, CCN 103044

Merit-based Incentive Payment System (MIPS)

Final score

92.26 of 100Reported as apm

Quality

80.2

Promoting interoperability

99.24

Improvement activities

40

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Freedom Health HMO Network
• devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
• devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
• AL HMO D-SNP
• FL HMO C-SNP
• FL HMO
• FL PPO
• FL HMO D-SNP
• Optimum HealthCare HMO Network
• devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
• devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
• AL HMO

Interoperability endpoints

• Direct secure messaging: gshah2501010@direct.ccf.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Martin Memorial Medical Center Inc

  • General Acute Care Hospital
  • Stuart, FL
  • NPI 1194790055
  Medicare reassignment Care Compare group NPD
• Euclid Hospital Cleveland Clinic Health System

  • General Acute Care Hospital
  • Euclid, OH
  • NPI 1457403016
  NPD
• Bio-Medical Applications of Florida, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Sebring, FL
  • NPI 1003508029
  NPD (past)
• Family Care Associates of NW Florida

  • Family Medicine Physician
  • Chipley, FL
  • NPI 1629122148
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bio-Medical Applications of Florida, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Port Saint Lucie, FL
  • NPI 1134231988

  Dialysis facility

  Care Compare affiliation Name & address match
• Bio-Medical Applications of Florida, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Stuart, FL
  • NPI 1790320943

  Dialysis facility

  Care Compare affiliation Name & address match
• Rai Care Centers of Florida I, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Port Saint Lucie, FL
  • NPI 1083623078

  Dialysis facility

  Care Compare affiliation Name & address match
• Encompass Health Rehabilitation Hospital of Martin County, LLC

  • Rehabilitation Hospital
  • Stuart, FL
  • NPI 1942553599

  Inpatient rehabilitation facility

  Care Compare affiliation
• Indian River Memorial Hospital Inc

  • General Acute Care Hospital
  • Vero Beach, FL
  • NPI 1376512988
  Care Compare affiliation
• Martin Memorial Medical Center Inc

  • General Acute Care Hospital
  • Stuart, FL
  • NPI 1194790055
  Care Compare affiliation
• Tampa General Hospital Citrus LLC

  • General Acute Care Hospital
  • Crystal River, FL
  • NPI 1407637531
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1013029289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 417",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349950417",
            "telephone_number": "772-223-2832",
            "fax_number": "772-223-5646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SE OSCEOLA ST",
            "address_2": "STE 200",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942364",
            "telephone_number": "772-286-1550",
            "fax_number": "772-221-0569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "GAURAV",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME115947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009080500",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gshah30495@direct.martinhealth.org",
            "affiliation": "N",
            "address_1": "500 SE Osceola St",
            "address_2": "STE 200",
            "city": "Stuart",
            "state": "FL",
            "country_code": "US",
            "postal_code": "349942364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Shanlis Counseling & Assessment, Inc
• Shanlis Inc.
• Shanlis, Inc.
• Shannon Winters DC PA

• Nephrology Physician in Stuart, FL
• Providers in Stuart, FL by specialty
• Nephrology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.