Individual provider Active NPI

Shalin Shah, M.D.

  • Cardiovascular Disease Physician
  • Tampa, FL
National Provider Identifier
1124098249
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME97804 Issued in FL
Practice address
4612 N Habana Ave FL 2
Tampa, FL 33614-7101
Phone
(813) 875-9000
Fax
(813) 874-3278
NPI assigned
Jan 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X 173549 MT
Cardiovascular Disease Physician 207RC0000X ME97804 FL Primary
Cardiovascular Disease Physician 207RC0000X 01060740 IN
Clinical Cardiac Electrophysiology Physician 207RC0001X 01060740 IN

Addresses

Primary practice location

4612 N Habana Ave FL 2
Tampa, FL 33614-7101

Mailing address

4612 N Habana Ave FL 2
Tampa, FL 33614-7101
Phone (813) 875-9000

Other practice location 1

1300 28th St S Fl 2
Great Falls, MT 59405-5296
Phone (406) 455-4320

Other identifiers 1

IdentifierTypeStateIssuer
277671500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20071112000322 FL Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 4981649464 Reassigns benefits to 5 organizations
I20260609001463 MT Practitioner - Cardiac Electrophysiology 4981649464 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baycare Medical Group, Inc.Group PAC ID 6406753623, 1,539 clinicians

Practice addresses (Care Compare)

2461 Enterprise Rd
Suite C
Clearwater, FL 33763-1726
Phone (727) 725-5060

3001 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6307
Phone (813) 321-6589

3003 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6307

3101 W Dr MLK Blvd
Suite 300
Tampa, FL 33607-6203
Phone (727) 315-6974

4612 N Habana Ave
1St Floor
Tampa, FL 33614-7101
Phone (813) 840-3526

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01060740INMDCardiovascular Disease Physician
173549MTMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Medical Group, Inc. Cardiovascular Disease CurrentSince Dec 29, 2021 Accepting new patients
St. Anthony'S Professional Buildings & Services, Inc Current Accepting new patients
Cardiology Interpreters Inc CurrentSince Mar 15, 2010 Accepting new patients
Baycare Medical Group, Inc. CurrentSince Dec 29, 2021 Accepting new patients
Morton Plant Mease Health Services Inc CurrentSince Jun 28, 2010 Accepting new patients
Pinellas Ekg Interpreters Inc Cardiovascular Disease CurrentSince Feb 2, 2008 Accepting new patients
Morton Plant Mease Health Services, Inc CurrentSince Jun 28, 2010 Accepting new patients
Baycare Medical Group Inc Cardiovascular Disease CurrentSince Jan 26, 2022 Accepting new patients
St. Anthony'S Professional Buildings & Services, Inc CurrentSince Dec 1, 2011 Accepting new patients
Morton Plant Mease Health Services Inc Current Accepting new patients
St. Anthony'S Professional Buildings & Services, Inc CurrentSince Dec 1, 2011 Accepting new patients

Locations

2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060

2995 Drew St
Bldg 2ND
Clearwater, FL 33759

2995 Drew St
Fl 3
Clearwater, FL 33759

601 Main St
Dunedin, FL 34698
Phone (727) 461-1133

2025 Indian Rocks Rd S
Largo, FL 33774
Phone (727) 581-9474

6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300

8787 Bryan Dairy Rd
Seminole, FL 33777
Phone (727) 391-4758

5398 Park St N
St Petersburg, FL 33709
Phone (727) 544-1441

900 Carillon Pkwy
St Petersburg, FL 33716
Phone (727) 556-2662

5398 Park St N
Ste A
St Petersburg, FL 33709
Phone (727) 544-1441

4612 N Habana Ave
Fl 2
Tampa, FL 33614
Phone (813) 875-9000

2102 Trinity Oaks Blvd
Trinity, FL 34655
Phone (727) 372-4000

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: shalin.shah@direct.mybaycare.org

Organizations & group practices 12

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1124098249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4612 N HABANA AVE FL 2",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147101",
            "telephone_number": "813-875-9000",
            "fax_number": "813-874-3278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4612 N HABANA AVE FL 2",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147101",
            "telephone_number": "813-875-9000",
            "fax_number": "813-874-3278"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 28th St S Fl 2",
            "address_purpose": "LOCATION",
            "city": "Great Falls",
            "state": "MT",
            "postal_code": "594055296",
            "country_code": "US",
            "telephone_number": "406-455-4320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SHALIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "MT",
            "license": "173549",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME97804",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01060740",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "IN",
            "license": "01060740",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277671500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.