Syed Raza Shah, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD478957 Issued in PA

Practice address

1147 NW 64TH Ter
Gainesville, FL 32605-4218

Phone

(352) 333-5159

NPI assigned

Jul 6, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Cardiovascular Disease (Cardiology)

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DLP Conemaugh Physician Practices LLCGroup PAC ID 7315166949, 286 clinicians

Cardiology Associates of Altoona LLPGroup PAC ID 0042367476, 21 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Conemaugh Memorial Medical Center Hospital, Johnstown, PA, CCN 390110

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: drsshah@caa.medentdirect.com

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.

• Cardiology Associates of Altoona, LLP

  • Cardiovascular Disease Physician
  • Altoona, PA
  • NPI 1386688299

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• DLP Conemaugh Physician Practices LLC

  • Family Medicine Physician
  • Cresson, PA
  • NPI 1932515905

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• DLP Conemaugh Memorial Medical Center LLC

  • Family Medicine Physician
  • Johnstown, PA
  • NPI 1669873881

  Multi-Specialty

  Medicare reassignment NPD
• DLP Conemaugh Meyersdale Medical Center LLC

  • Critical Access Hospital
  • Meyersdale, PA
  • NPI 1659376358
  Medicare reassignment NPD
• DLP Conemaugh Meyersdale Medical Center LLC

  • Family Medicine Physician
  • Meyersdale, PA
  • NPI 1932500154

  Multi-Specialty

  Medicare reassignment NPD
• DLP Conemaugh Miners Medical Center LLC

  • Critical Access Hospital
  • Hastings, PA
  • NPI 1184620486

  Multi-Specialty

  Medicare reassignment NPD
• DLP Conemaugh Miners Medical Center LLC

  • Emergency Medicine Physician
  • Hastings, PA
  • NPI 1629471768

  Multi-Specialty

  Medicare reassignment NPD
• DLP Conemaugh Memorial Medical Center LLC

  • Registered Dietitian
  • Johnstown, PA
  • NPI 1760154975

  Multi-Specialty

  NPD
• DLP Conemaugh Memorial Medical Center LLC

  • General Acute Care Hospital
  • Johnstown, PA
  • NPI 1801897038
  NPD
• DLP Conemaugh Miner'S Medical Center LLC

  • Emergency Medicine Physician
  • Hastings, PA
  • NPI 1811398076

  Multi-Specialty

  NPD
• DLP Conemaugh Physician Practices LLC

  • Internal Medicine Physician
  • Johnstown, PA
  • NPI 1205242609

  Multi-Specialty

  NPD
• DLP Conemaugh Physician Practices LLC

  • Family Medicine Physician
  • Somerset, PA
  • NPI 1396151361

  Multi-Specialty

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• DLP Conemaugh Memorial Medical Center LLC

  • General Acute Care Hospital
  • Johnstown, PA
  • NPI 1801897038
  Care Compare affiliation

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

{
    "created_epoch": "1499299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1205357688",
    "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": "352-333-5159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1147 NW 64TH TER",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054218",
            "telephone_number": "352-333-5159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SYED",
        "middle_name": "RAZA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-06",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "TRN25632",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "KY",
            "license": "53520",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD478957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nikita Shah
• Rajendra Prasad Shah
• Rishubh Hitesh Shah, MD
• Rushi Anil Shah, MD
• Samir Kaushik Shah, MD
• Ibna Shahalam
• John S Shahan, MD
• Joyce Shahboz
• Shaheda Qaiyumi, M.D. P.a.
• Mehrnoosh Shahgholianghahfarokhi, MD

• Internal Medicine Physician in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; 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.

Verify at the official NPI Registry.