NPIMap

Individual provider Active NPI

Sunny Shah

  • Psychiatry Physician
  • Fort Myers, FL
National Provider Identifier
1154958163
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
UO7234 Issued in FL
Practice address
11215 Metro Pkwy
Fort Myers, FL 33966-1206
Phone
(239) 208-2212
Fax
(239) 208-3994
NPI assigned
Mar 27, 2020
Last updated
Sep 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Neurology Physician 2084N0400X DR.0073131 CO
Psychiatry Physician 2084P0800X UO7234 FL Primary
Psychiatry Physician 2084P0800X 2025031712 MO

Addresses

Primary practice location

11215 Metro Pkwy
Fort Myers, FL 33966-1206

Mailing address

1147 NW 64TH Ter
Gainesville, FL 32605-4218
Phone (352) 333-5982

Other practice location 1

211 NE 54th St Ste 201
Kansas City, MO 64118-4330
Phone (816) 453-6777

Other practice location 2

1147 NW 64th Ter
Gainesville, FL 32605-4218
Phone (352) 333-5982

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, MO, OR, FL, TX, VA6 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20240710003064 CO Practitioner - Psychiatry 7517402969 Reassigns benefits to 5 organizations
I20250915001697 MO Practitioner - Psychiatry 7517402969 Reassigns benefits to 3 organizations
I20250919001272 OR Practitioner - Psychiatry 7517402969 Reassigns benefits to 2 organizations
I20260624002629 FL Practitioner - Psychiatry 7517402969 Reassigns benefits to 3 organizations
I20260625002828 TX Practitioner - Psychiatry 7517402969 Reassigns benefits to 2 organizations
I20260625003513 VA Practitioner - Psychiatry 7517402969 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
TS Telepsychiatry PLLCGroup PAC ID 0941698070, 21 clinicians

Practice addresses (Care Compare)

3039 W Highland Park PL
Denver, CO 80211-3221
Phone (239) 208-2212

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
UO7234FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
TS Telepsychiatry PLLC Psychiatry CurrentSince Sep 1, 2025 Accepting new patients
Good Shepherd Health Care System CurrentSince Aug 15, 2025 Accepting new patients
Meritas Health Psychiatry CurrentSince Nov 1, 2025 Accepting new patients
Meritas Health Corporation Neurology CurrentSince Nov 1, 2025 Accepting new patients
Meritas Health Corporation Current Accepting new patients
Johnstown Heights Behavioral Health, LLC Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

11215 Metro Pkwy
Ste 1
Fort Myers, FL 33966
Phone (239) 208-2206

211 NE 54th St
Ste 2
Kansas City, MO 64118
Phone (816) 453-6777

211 NE 54th St
Ste 201
Kansas City, MO 64118
Phone (816) 453-6777

610 NW 11th St
Hermiston, OR 97838
Phone (541) 667-3400

Interoperability endpoints

  • Direct secure messaging: sunny.shah@hca5.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1585267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1154958163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1147 NW 64TH TER",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054218",
            "telephone_number": "352-333-5982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11215 METRO PKWY",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339661206",
            "telephone_number": "239-208-2212",
            "fax_number": "239-208-3994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 NE 54th St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641184330",
            "country_code": "US",
            "telephone_number": "816-453-6777",
            "fax_number": "816-454-3601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1147 NW 64th Ter",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326054218",
            "country_code": "US",
            "telephone_number": "352-333-5982",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SUNNY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-27",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CO",
            "license": "DR.0073131",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "UO7234",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2025031712",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.