Individual provider Active NPI

Sonal Shah, M.D.

  • Internal Medicine Physician
  • St Petersburg, FL
National Provider Identifier
1053433516
Registry record updated Jun 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0058333 Issued in FL
Practice address
6450 38TH Ave N
Suite# 100
St Petersburg, FL 33710-1645
Phone
(727) 347-2780
Fax
(727) 347-5508
NPI assigned
Apr 4, 2007
Last updated
Jun 6, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME0058333 FL Primary

Addresses

Primary practice location

6450 38TH Ave N
Suite# 100
St Petersburg, FL 33710-1645

Mailing address

6450 38TH Ave N
Suite# 100
St Petersburg, FL 33710-1645
Phone (727) 347-2780

Other identifiers 2

IdentifierTypeStateIssuer
259996100MedicaidFL
12232YOtherFLMEDICARE UNSPECIFIED

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080527000553 FL Practitioner - Internal Medicine 3678668126 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0058333FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health, Inc. Current Accepting new patients
Gulfcoast Medical Associates Internal Medicine PastSince Nov 7, 2025 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sshah188996@orlandohealth.medalliesdirect.net

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212710400000",
    "number": "1053433516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6450 38TH AVE N",
            "address_2": "SUITE# 100",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337101645",
            "telephone_number": "727-347-2780",
            "fax_number": "727-347-5508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6450 38TH AVE N",
            "address_2": "SUITE# 100",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337101645",
            "telephone_number": "727-347-2780",
            "fax_number": "727-347-5508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SONAL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2008-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0058333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "259996100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE UNSPECIFIED",
            "identifier": "12232Y",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.