Individual provider Active NPI

Hemant N Shah, M.D.

  • Interventional Pain Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1154326973
Registry record updated Dec 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
ME95262 Issued in FL
Practice address
9421 Waypoint PL
Jacksonville, FL 32257-9229
Phone
(904) 268-8200
Fax
(904) 268-8298
NPI assigned
Jun 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X ME95262 FL Primary

Addresses

Primary practice location

9421 Waypoint PL
Jacksonville, FL 32257-9229

Mailing address

PO Box 600290
Jacksonville, FL 32260-0290
Phone (904) 268-8200

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
I20060720000323 FL Practitioner - Pain ManagementPractitioner - AnesthesiologyPractitioner - Interventional Pain Management 0244290716 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9421 Waypoint PL
Jacksonville, FL 32257-9229
Phone (904) 268-8200

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jacksonville Pain Center PA Interventional Pain Medicine CurrentSince Nov 15, 2007 Accepting new patients
Medical Partners of Jacksonville LLC Interventional Pain Medicine Past Accepting new patients

Locations

1201 Monument Rd
Ste 301
Jacksonville, FL 32225
Phone (800) 636-1701

9421 Waypoint Pl
Jacksonville, FL 32257
Phone (904) 268-8200

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HDDBCA/Endpoint/HDDBCA

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292889600000",
    "number": "1154326973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 600290",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322600290",
            "telephone_number": "904-268-8200",
            "fax_number": "904-268-8298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9421 WAYPOINT PL",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322579229",
            "telephone_number": "904-268-8200",
            "fax_number": "904-268-8298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "HEMANT",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2010-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME95262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.