Rehan Shah, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

ME127447 Issued in FL

Practice address

6817 Southpoint Pkwy Ste 203
Jacksonville, FL 32216-6286

Phone

(904) 330-1024

NPI assigned

Jul 26, 2007

Last updated

Apr 22, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 6

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA, FL, TX, UT, OK, IL, WA, NY, KS, ID10 enrollments

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 10

Specialty

Internal MedicineAlso: Nephrology

Education

Other, 2006

Medicare assignment

May accept Medicare assignment

Group practices

Urban Wellness Physicians, PLLCGroup PAC ID 0941681092, 2 clinicians

Cardio and Renal Therapeutics of North Texas PLLCGroup PAC ID 7810329638, 32 clinicians

Cardiorenal Therapeutics LLCGroup PAC ID 7416280425, 34 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Dialyze Direct FL Dialysis facility, Boca Raton, FL, CCN 682588
• Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H9678

Interoperability endpoints

• Direct secure messaging: rehanshah@wnjrmc.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cardiorenal Therapeutics LLC

  • Nephrology Physician
  • Jacksonville, FL
  • NPI 1457917304
  Medicare reassignment Care Compare group NPD Authorized official
• Cardio & Renal Therapeutics of North Texas PLLC

  • Nephrology Physician
  • Sherman, TX
  • NPI 1649813296

  OK

  Medicare reassignment Care Compare group NPD Authorized official
• Urban Wellness Physicians, PLLC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1669111035
  Medicare reassignment Care Compare group NPD Authorized official
• Activate CR, PLLC

  • Nephrology Physician
  • Frisco, TX
  • NPI 1063221851

  FL

  Medicare reassignment NPD Authorized official
• Cardiorenal Therapeutics of Washington, PLLC

  • Internal Medicine Physician
  • Tacoma, WA
  • NPI 1467054924

  ID

  Medicare reassignment Authorized official
• Cardiac Vision LLC

  • Cardiovascular Disease Physician
  • Jacksonville, FL
  • NPI 1144651373
  Medicare reassignment NPD
• Cardiorenal Vision of Missouri LLC

  • Cardiovascular Disease Physician
  • Kansas City, MO
  • NPI 1285529289

  KS

  Medicare reassignment NPD
• Cardiorenal Vision of Utah PLLC

  • Pulmonary Disease Physician
  • Coalville, UT
  • NPI 1316834054
  Medicare reassignment NPD
• Cardiorenal Vision for Oregon LLC

  • Nephrology Physician
  • Portland, OR
  • NPI 1194535997
  NPD (past) Authorized official
• Ispin Health Holdings LLC

  • Nephrology Physician
  • Frisco, TX
  • NPI 1114624855
  Authorized official Same address or phone
• Sherman Grayson Hospital LLC

  dba Wilson N. Jones Regional Medical Center

  • General Acute Care Hospital
  • Sherman, TX
  • NPI 1013957836
  NPD
• Tift Regional Health System Inc

  dba Tift Regional Ophthalmology

  • Ophthalmology Physician
  • Tifton, GA
  • NPI 1790280857
  NPD

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

• Dialyze Direct FL LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Boca Raton, FL
  • NPI 1588065510

  Dialysis facility

  Care Compare affiliation Name & address match
• Adventist Health System-Sunbelt, Inc

  dba AdventHealth Orlando

  • General Acute Care Hospital
  • Orlando, FL
  • NPI 1306938071
  Care Compare affiliation
• Adventist Health System-Sunbelt, Inc

  dba AdventHealth Orlando Outreach Laboratory

  • Clinical Medical Laboratory
  • Orlando, FL
  • NPI 1801569728

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1255521332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 516",
            "city": "OREGON",
            "state": "IL",
            "postal_code": "610610516",
            "telephone_number": "214-272-2774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6817 SOUTHPOINT PKWY STE 203",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166286",
            "telephone_number": "904-330-1024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2225 US Highway 41 N",
            "address_purpose": "LOCATION",
            "city": "Tifton",
            "state": "GA",
            "postal_code": "317942749",
            "country_code": "US",
            "telephone_number": "229-391-4100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 Pacific Ave Ste 400",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984024381",
            "country_code": "US",
            "telephone_number": "253-300-8453",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4510 Medical Center Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "McKinney",
            "state": "TX",
            "postal_code": "750691605",
            "country_code": "US",
            "telephone_number": "214-272-2774",
            "fax_number": "214-444-7059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "REHAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-26",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "071567",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WA",
            "license": "MD61072096",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "071567",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "S2503",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME127447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2173910",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nayantara Shailendu Shah, MD
• Neil Prarthan Shah, MD
• Nipa R Shah, MD
• Parag H Shah, MD
• Purvin Shah, D.O.
• Sadia Zain Shah, M.D.
• Sagar R. Shah, MD
• Samir Shah, DO
• Sanket D Shah, MD
• Sareeta Shah

• Nephrology Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Nephrology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; 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.