Organization Active NPI

Shamal D Nadkarni MD PA

  • Primary Care Clinic/Center
  • Gainesville, FL
National Provider Identifier
1164443255
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
SHAMAL D NADKARNI MD PA
Practice address
1050 NW 8TH Ave Ste 30
Gainesville, FL 32601-4998
Phone
(352) 271-3200
Fax
(877) 339-2294
NPI assigned
Jul 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Authorized official

Name
Shamal D Nadkarni, MDNPI 1396767455
Title
President
Phone
(352) 271-3200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X FL Primary

Addresses

Primary practice location

1050 NW 8TH Ave Ste 30
Gainesville, FL 32601-4998

Mailing address

1050 NW 8TH Ave Ste 30
Gainesville, FL 32601-4998
Phone (352) 271-3200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101101000129 FL Part B Supplier - Clinic/Group Practice 4486848751 Receives reassigned benefits from 1 practitioner
Practice locations: Gainesville, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0983738Shamal D Nadkarni MD PA1050 NW 8TH Ave, Ste 30, Gainesville, FL 32601Certificate of waiverFeb 28, 2027

National Provider Directory

National Provider Directory

Locations

1050 NW 8th Ave
Ste 30
Gainesville, FL 32601
Phone (352) 271-3200

1026 SW 2nd Ave
Ste D
Gainesville, FL 32601
Phone (352) 271-3200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740528000000",
    "number": "1164443255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 NW 8TH AVE STE 30",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326014998",
            "telephone_number": "352-271-3200",
            "fax_number": "352-271-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 NW 8TH AVE STE 30",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326014998",
            "telephone_number": "352-271-3200",
            "fax_number": "877-339-2294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAMAL D NADKARNI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A",
        "authorized_official_last_name": "NADKARNI",
        "authorized_official_first_name": "SHAMAL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-271-3200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.