Active NPI
Siddharth H Shah, M.D.
- Neurology Physician
- New Port Richey, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- ME0068165
- Practice address
- 4738 Grand Blvd Ste C
New Port Richey, FL 34652-5170 - Phone
- (727) 848-0800
- Fax
- (727) 843-8157
- NPI assigned
- Oct 3, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | ME0068165 | FL | Primary |
Addresses
Primary practice location
4738 Grand Blvd Ste C
New Port Richey, FL 34652-5170
Mailing address
304 Tall Oak TRL
Tarpon Springs, FL 34688-7711
Phone (727) 848-0800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 377497000 | Medicaid | FL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4738 Grand Blvd
Suite Bandc
New Port Richey, FL 34652-5170
Phone (727) 848-0800
Hospital & facility affiliations
- HCA Florida Trinity Hospital
- Adventhealth North Pinellas
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0068165 | FL | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shahab U Kidwai MD PA | Neurology | Current | Accepting new patients |
| Siddharth H Shah MD PA | Neurology | Current | Accepting new patients |
| Ismail M.D., P.a. | Neurology | Past | Accepting new patients |
Locations
4754 US Highway 19
New Port Richey, FL 34652
Phone (727) 848-0800
4762 Rowan Rd
New Port Richey, FL 34653
Phone (727) 848-0800
4738 Grand Blvd
Ste C
New Prt Rchy, FL 34652
Phone (727) 807-7800
4738 Grand Blvd
Ste Bc
New Prt Rchy, FL 34652
Phone (727) 848-0800
2000 N Federal Hwy
Ste 202
Pompano Beach, FL 33062
Phone (954) 782-6800
2000 N Federal Hwy
Ste 203
Pompano Beach, FL 33062
Phone (954) 783-0222
Networks
- Freedom Health HMO Network
Organizations & group practices 3
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.
-
- Neurology Physician
- New Port Richey, FL
- NPI 1952462350
-
- Neurology Physician
- Pompano Beach, FL
- NPI 1528212628
-
- Neurology Physician
- Tamarac, FL
- NPI 1679971030
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Trinity, FL
- NPI 1891741849
-
- General Acute Care Hospital
- Tarpon Springs, FL
- NPI 1568473015
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786147200000",
"number": "1174510358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 TALL OAK TRL",
"city": "TARPON SPRINGS",
"state": "FL",
"postal_code": "346887711",
"telephone_number": "727-848-0800",
"fax_number": "727-843-8157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4738 GRAND BLVD STE C",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346525170",
"telephone_number": "727-848-0800",
"fax_number": "727-843-8157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "SIDDHARTH",
"middle_name": "H",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-03",
"last_updated": "2026-08-08",
"certification_date": "2026-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "FL",
"license": "ME0068165",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "377497000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Port Richey, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.