Active NPI
Ajit Shah, M.D.
- Gynecology Physician
- Orlando, FL
National Provider Identifier
1083617229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- ME96817
- Practice address
- 10069 Hart Branch Cir
Orlando, FL 32832-5913 - Phone
- (407) 282-8243
- NPI assigned
- May 23, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | ME96817 | FL | Primary |
Addresses
Primary practice location
10069 Hart Branch Cir
Orlando, FL 32832-5913
Mailing address
10069 Hart Branch Cir
Orlando, FL 32832-5913
Phone (407) 282-8243
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100084540 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME96817 | FL | MD | Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385596800000",
"number": "1083617229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10069 HART BRANCH CIR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328325913",
"telephone_number": "407-282-8243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10069 HART BRANCH CIR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328325913",
"telephone_number": "407-282-8243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "AJIT",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-05-23",
"last_updated": "2013-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "FL",
"license": "ME96817",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100084540",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.