Active NPI
Bhavesh A. Shah, M.D.
- Family Medicine Physician
- Sarasota, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME145449
- Practice address
- 1921 Waldemere St Ste 405
Sarasota, FL 34239-2941 - Phone
- (941) 917-3500
- Fax
- (941) 917-3501
- NPI assigned
- Nov 14, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036-101053 | IL | |
| Family Medicine Physician | 207Q00000X | ME145449 | FL | Primary |
Addresses
Primary practice location
1921 Waldemere St Ste 405
Sarasota, FL 34239-2941
Mailing address
PO Box 863407
Orlando, FL 32886-3407
Phone (941) 917-2600
Other practice location 1
351 Delnor Dr
Geneva, IL 60134-4222
Phone (630) 938-9900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F400268164 | Other | IL | MEDICARE PTAN INDIVIDUAL |
| 920540 | Other | IL | MEDICARE PTAN GROUP |
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
- Family Practice
- Education
- University of Missouri, Kansas City, School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- H2 Rehabilitation Services of Florida LLC
Practice addresses (Care Compare)
1921 Waldemere St
Suite 405
Sarasota, FL 34239-2941
Phone (941) 917-3500
8220 Natures Way
Lakewood Ranch, FL 34202-4208
Phone (800) 699-9395
Hospital & facility affiliations
- Haven Home Health Care
- Patients First Home Care LLC
- Sarasota Memorial Hospital
- Sarasota Memorial Hospital - Venice
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 |
|---|---|---|---|
| ME145449 | FL | MD | Family Medicine Physician |
| 036-101053 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SMH Physician Services Inc | Family Medicine | Current | Accepting new patients |
| Leroy Oaks Family Medicine, P.C. | Family Medicine | Past | Accepting new patients |
| Sherman Hospital | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| SMH Physician Services Inc | Past | Accepting new patients |
Locations
1921 Waldemere St
Ste 307
Sarasota, FL 34239
Phone (941) 917-8565
1921 Waldemere St
Ste 405
Sarasota, FL 34239
Phone (941) 917-3500
Interoperability endpoints
- bhavesh.shah@fpg.directbygreenway.com
Organizations & group practices 5
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.
-
- Family Medicine Physician
- St. Charles, IL
- NPI 1487727152
-
- Gynecology Physician
- Sarasota, FL
- NPI 1275525826
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Elgin, IL
- NPI 1700834371
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Venice, FL
- NPI 1518429166
-
- Home Health Agency
- Sarasota, FL
- NPI 1245845312
-
- General Acute Care Hospital
- North Venice, FL
- NPI 1013534445
-
- General Acute Care Hospital
- Sarasota, FL
- NPI 1245294826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593993600000",
"number": "1255403663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 863407",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328863407",
"telephone_number": "941-917-2600",
"fax_number": "941-917-7884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1921 WALDEMERE ST STE 405",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342392941",
"telephone_number": "941-917-3500",
"fax_number": "941-917-3501"
}
],
"practiceLocations": [
{
"address_1": "351 Delnor Dr",
"address_purpose": "LOCATION",
"city": "Geneva",
"state": "IL",
"postal_code": "601344222",
"country_code": "US",
"telephone_number": "630-938-9900",
"fax_number": "630-938-9930",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAH",
"first_name": "BHAVESH",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-14",
"last_updated": "2020-07-06",
"certification_date": "2020-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036-101053",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME145449",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN INDIVIDUAL",
"identifier": "F400268164",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN GROUP",
"identifier": "920540",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; 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.