Active NPI
Raj Subhash Shah, M.D.
- Internal Medicine Physician
- Miramar, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME139688
- Practice address
- 3601 SW 160TH Ave Ste 250
Miramar, FL 33027-6314 - Phone
- (877) 866-7123
- NPI assigned
- Jun 25, 2015
- Last updated
- Sep 11, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME139688 | FL | |
| Internal Medicine Physician | 207R00000X | ME139688 | FL | Primary |
Addresses
Primary practice location
3601 SW 160TH Ave Ste 250
Miramar, FL 33027-6314
Mailing address
3601 SW 160TH Ave Ste 250
Miramar, FL 33027-6314
Phone (954) 213-6251
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
324 Wilder Blvd
Daytona Beach, FL 32114-6025
Phone (866) 877-7123
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 4605 |
| Removal of skin lesions | 72 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Post Acute Care Clinicians, LLC | Family Medicine | Current | Accepting new patients |
| Florida Post Acute Care Clinicians, LLC | Family Medicine | Current | Accepting new patients |
Locations
324 Wilder Blvd
Daytona Beach, FL 32114
Phone (386) 252-2600
5888 Blanding Blvd
Jacksonville, FL 32244
Phone (904) 612-7385
3601 SW 160th Ave
Ste 250
Miramar, FL 33027
Phone (305) 866-9951
1780 N Jefferson Hwy
Monticello, FL 32344
Phone (800) 708-4008
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Miramar, FL
- NPI 1811398811
-
- Family Medicine Physician
- Miramar, FL
- NPI 1699225029
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Long Term Care Hospital
- Daytona Beach, FL
- NPI 1033536727
Long-term care hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726012800000",
"number": "1073995049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3601 SW 160TH AVE STE 250",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330276314",
"telephone_number": "954-213-6251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 SW 160TH AVE STE 250",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330276314",
"telephone_number": "877-866-7123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "RAJ",
"middle_name": "SUBHASH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-06-25",
"last_updated": "2024-09-11",
"certification_date": "2024-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME139688",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME139688",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miramar, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; 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.