NPIMap

Organization Active NPI

Dipak Shah MD PA

  • Internal Medicine Physician
  • Tampa, FL
National Provider Identifier
1215091350
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DIPAK SHAH MD PA
Practice address
14701 N Florida Ave
Tampa, FL 33613-1823
Phone
(813) 265-2066
NPI assigned
Dec 21, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dipak Shah, MDNPI 1295703064
Title
Owner
Phone
(813) 265-2066

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

14701 N Florida Ave
Tampa, FL 33613-1823

Mailing address

14701 N Florida Ave
Tampa, FL 33613-1823
Phone (813) 265-2066

Other identifiers 1

IdentifierTypeStateIssuer
BCBSOtherFL77640

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215091350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14701 N FLORIDA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336131823",
            "telephone_number": "813-265-2066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14701 N FLORIDA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336131823",
            "telephone_number": "813-265-2066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIPAK SHAH MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "DIPAK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-265-2066",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "77640",
            "identifier": "BCBS",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.