Dipak Shah, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME50876 Issued in FL

Practice address

14701 N Florida Ave
Tampa, FL 33613-1823

Phone

(813) 265-2066

Fax

(813) 960-4615

NPI assigned

Mar 9, 2006

Last updated

Dec 14, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Dipak Shah Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Citrus Park Medical Care Inc

  • Legal Medicine
  • Tampa, FL
  • NPI 1033266176
  NPD (past) Authorized official
• Dipak Shah MD PA

  • Internal Medicine Physician
  • Tampa, FL
  • NPI 1215091350
  Authorized official Same address or phone
• Valrico Medical Care, P.a.

  • General Practice Physician
  • Brandon, FL
  • NPI 1205025277
  NPD (past) Authorized official

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481673600000",
    "number": "1295703064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10051 5TH ST N",
            "address_2": "STE 200",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337022289",
            "telephone_number": "813-265-2066",
            "fax_number": "813-960-4615"
        },
        {
            "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",
            "fax_number": "813-960-4615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "DIPAK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2016-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME50876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "258794700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIPAK",
            "last_name": "SHAH",
            "prefix": "DR.",
            "credential": "M.D.PA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Atul R Shah, MD
• Beejal Shah, MD
• Bharat D. Shah, RPH
• Bijal Shah, M.D.
• Chintalkumar B Shah
• Jayesh S Shah, MD
• Kant Shah, MD
• Khussbu Shah, OD
• Krisha Shah, PA-C
• Kruti Shah, PSY.D.

• Internal Medicine Physician in Tampa, FL
• Providers in Tampa, 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 Dec 14, 2016; 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.