Active NPI
Beejal Shah, MD
- Endocrinology, Diabetes & Metabolism Physician
- Tampa, FL
National Provider Identifier
1104065382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- ME130530
- Practice address
- 13801 Bruce B Downs Blvd Ste 201
Tampa, FL 33613-3937 - Phone
- (813) 977-5557
- Fax
- (813) 972-9211
- NPI assigned
- Feb 12, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | ME130530 | FL | Primary |
Addresses
Primary practice location
13801 Bruce B Downs Blvd Ste 201
Tampa, FL 33613-3937
Mailing address
13801 Bruce B Downs Blvd Ste 201
Tampa, FL 33613-3937
Phone (813) 977-5557
Other practice location 1
10000 Bay Pines Blvd
Bay Pines, FL 33744-8200
Phone (727) 398-6661
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11953648 | Other | FL | CAQH |
| S33110 | Other | FL | UPIN |
| ME130530 | Other | FL | MEDICAL LIC # |
| JA3362 | Other | FL | MCARE # |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170804002502 | FL | Practitioner - Endocrinology | 5193870251 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edlc, LLC | Endocrinology, Diabetes & Metabolism | Past | Accepting new patients |
Interoperability endpoints
- bshah@schandra.directglo.com
Organizations & group practices 1
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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Scottsdale, AZ
- NPI 1154804243
Endocrinology, Diabetes & Metabolism
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559174400000",
"number": "1104065382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13801 BRUCE B DOWNS BLVD STE 201",
"city": "TAMPA",
"state": "FL",
"postal_code": "336133937",
"telephone_number": "813-977-5557",
"fax_number": "813-972-9211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13801 BRUCE B DOWNS BLVD STE 201",
"city": "TAMPA",
"state": "FL",
"postal_code": "336133937",
"telephone_number": "813-977-5557",
"fax_number": "813-972-9211"
}
],
"practiceLocations": [
{
"address_1": "10000 Bay Pines Blvd",
"address_purpose": "LOCATION",
"city": "Bay Pines",
"state": "FL",
"postal_code": "337448200",
"country_code": "US",
"telephone_number": "727-398-6661",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAH",
"first_name": "BEEJAL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-12",
"last_updated": "2019-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "FL",
"license": "ME130530",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11953648",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPIN",
"identifier": "S33110",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LIC #",
"identifier": "ME130530",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCARE #",
"identifier": "JA3362",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.