Individual provider Active NPI

Swati M Shah, MBBS

  • Rheumatology Physician
  • Jacksonville, FL
National Provider Identifier
1144424722
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
ME98418 Issued in FL
Practice address
9765 San Jose Blvd Ste 103
Jacksonville, FL 32257-5467
Phone
(904) 517-8222
Fax
(904) 517-1222
NPI assigned
Jun 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X ME98418 FL Primary

Addresses

Primary practice location

9765 San Jose Blvd Ste 103
Jacksonville, FL 32257-5467

Mailing address

2255 Glades Rd Ste 228W
Boca Raton, FL 33431-7391
Phone (904) 517-8222

Other identifiers 3

IdentifierTypeStateIssuer
P01321209OtherFLRAILROAD MEDICARE
163413836AMedicaidGA
2784947-00MedicaidFL

Other names 1

  • Swati Rasiklal Modi Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070915000193 FL Practitioner - Rheumatology 4284728650 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
American Arthritis and Rheumatology Associates LLCGroup PAC ID 0840575007, 66 clinicians

Practice addresses (Care Compare)

5251 Emerson St
Jacksonville, FL 32207-4932
Phone (904) 530-3196

Hospital & facility affiliations

  • Baptist Health Medical Center - Jacksonville Hospital, Jacksonville, FL, CCN 100088
  • Baptist Medical Center Beaches Hospital, Jacksonville Beach, FL, CCN 100117
  • Baptist Medical Center - Nassau Hospital, Fernandina Beach, FL, CCN 100140
  • Ed Fraser Memorial Hospital Hospital, Macclenny, FL, CCN 100134
  • Brooks Rehabilitation Hospital University Campus Inpatient rehabilitation facility, Jacksonville, FL, CCN 103039

Merit-based Incentive Payment System (MIPS)

Final score
95.44 of 100Reported as apm
Quality
84.21
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME98418FLMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Arthritis & Rheumatology Associates LLC Rheumatology CurrentSince Feb 1, 2024 Accepting new patients
Baptist Primary Care Inc CurrentSince Jan 1, 2014 Accepting new patients
Swati Shah, MD Rheumatology LLC Rheumatology Current Accepting new patients
Baptist Primary Care Inc. Internal Medicine CurrentSince Jan 1, 2014 Accepting new patients
Baptist Primary Care Inc Internal Medicine Current Accepting new patients

Locations

2255 Glades Rd
Ste 228W
Boca Raton, FL 33431
Phone (561) 699-7101

1831 N Belcher Rd
Ste D2
Clearwater, FL 33765
Phone (727) 734-6631

1660 Prudential Dr
Ste 310
Jacksonville, FL 32207
Phone (904) 396-8656

9765 San Jose Blvd
Ste 103
Jacksonville, FL 32257
Phone (904) 476-0966

5251 Emerson St
Jacksonville, FL 32207
Phone (904) 399-0324

836 Prudential Dr
Ste 1207
Jacksonville, FL 32207
Phone (904) 396-8656

520 A1A N
Ste 101
Ponte Vedra Beach, FL 32082
Phone (904) 273-6900

Interoperability endpoints

  • Direct secure messaging: swati.shah.p48@direct.aara1.nextgenshare.com

Organizations & group practices 5

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 6

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": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1144424722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 GLADES RD STE 228W",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334317391",
            "telephone_number": "904-517-8222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9765 SAN JOSE BLVD STE 103",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322575467",
            "telephone_number": "904-517-8222",
            "fax_number": "904-517-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SWATI",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MBBS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-14",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "FL",
            "license": "ME98418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01321209",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163413836A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2784947-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SWATI",
            "last_name": "MODI",
            "middle_name": "RASIKLAL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.