Shahla Medical Associates PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SHAHLA MEDICAL ASSOCIATES PA

Practice address

3599 University Blvd S Ste 404
Jacksonville, FL 32216-4232

Phone

(904) 396-0077

Fax

(904) 249-3390

NPI assigned

Jan 31, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Sean Shahla, MDNPI 1801884119

Title

President - Owner

Phone

(904) 396-0077

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/Xn4xUXZWRzcyVaayUfDGK1rXLAig3w6X/

Practitioners 2

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

• Sean Shahla, MD

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1801884119
  Medicare reassignment Care Compare group NPD Authorized official
• Amer Shahla, MD

  • Internal Medicine Physician
  • Jacksonville Beach, FL
  • NPI 1356339519
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773705600000",
    "number": "1235317397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3599 UNIVERSITY BLVD S STE 404",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164232",
            "telephone_number": "904-396-0077",
            "fax_number": "904-396-0733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3599 UNIVERSITY BLVD S STE 404",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164232",
            "telephone_number": "904-396-0077",
            "fax_number": "904-249-3390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAHLA MEDICAL ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A",
        "authorized_official_last_name": "SHAHLA",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "PRESIDENT - OWNER",
        "authorized_official_telephone_number": "904-396-0077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Swati M Shah, MBBS
• Tanay Eknath Shah
• Edward John Shahady, MD
• Sagar Sanjay Shahani, DO
• Mohammad Shahid
• Sean Shahla, MD
• Shahmed PLLC
• Marwan Elahi Shaikh, MD
• Kamal Abdo Shair, MD
• Derek Joseph Shairs, RMHCI

• Internal Medicine Physician in Jacksonville, FL
• Providers in Jacksonville, 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 Mar 17, 2026; 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.