Active NPI
Satu J Shah, MD
- Internal Medicine Physician
- Orlando, FL
National Provider Identifier
1184839367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME101485
- Practice address
- 9400 Turkey Lake Rd
Orlando, FL 32819-8001 - Phone
- (321) 384-5500
- Fax
- (321) 384-5550
- NPI assigned
- May 11, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME101485 | FL | Primary |
| Hospitalist Physician | 208M00000X | ME101485 | FL |
Addresses
Primary practice location
9400 Turkey Lake Rd
Orlando, FL 32819-8001
Mailing address
9400 Turkey Lake Rd
Orlando, FL 32819-8001
Phone (321) 384-5500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001952900 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME101485 | FL | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Florida Hospitalists LLC | Hospitalist | Past | Accepting new patients |
| Cogent Healthcare of Fort Myers, LLC | Internal Medicine | Past | Accepting new patients |
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.
-
- Internal Medicine Physician
- Ft Myers, FL
- NPI 1952352163
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451952000000",
"number": "1184839367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9400 TURKEY LAKE RD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328198001",
"telephone_number": "321-384-5500",
"fax_number": "321-384-5550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9400 TURKEY LAKE RD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328198001",
"telephone_number": "321-384-5500",
"fax_number": "321-384-5550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "SATU",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-11",
"last_updated": "2016-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME101485",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "FL",
"license": "ME101485",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001952900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.