Chandrakant Shah, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME 61676 Issued in FL

Practice address

13033 SW 112TH St
Miami, FL 33186-4601

Phone

(305) 382-4901

Fax

(305) 487-7280

NPI assigned

Nov 27, 2006

Last updated

Mar 12, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 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

General PracticeAlso: Family Practice

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• MGN Healthcare Services Home health agency, Miami Lakes, FL, CCN 103179

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IIHDBD
• FHIR API: https://fhir4.healow.com/fhir/r4/IIHDBD/Endpoint/IIHDBD

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.

• Chandrakant Shah MD PA

  • Primary Care Clinic/Center
  • Miami, FL
  • NPI 1790940138
  Medicare reassignment NPD

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

• Brewster Group Inc

  dba MGN Healthcare Services

  • Home Health Agency
  • Miami Lakes, FL
  • NPI 1932397262
  Care Compare affiliation

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363046400000",
    "number": "1073689634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13033 SW 112TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864601",
            "telephone_number": "305-382-4901",
            "fax_number": "305-487-7280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13033 SW 112TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864601",
            "telephone_number": "305-382-4901",
            "fax_number": "305-487-7280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "CHANDRAKANT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-27",
        "last_updated": "2013-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME 61676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "058773700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Larisa Shagabayeva, MD
• Shagalov Dermatology PA (Biscayne Dermatology)
• Devorah R Shagalov, MD
• Amar Shah, MD
• Ashish Harish Shah, MD
• Faika Shah, APRN
• Khushi Hemendra Shah
• Krimal Shah, MD
• Kumar Shah, M.D.
• Nikunj B Shah, DO

• Family Medicine Physician in Miami, FL
• Providers in Miami, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2013; 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.