Individual provider Active NPI

Vrajeshkumar Shah, M.D.

  • Internal Medicine Physician
  • Tampa, FL
National Provider Identifier
1295785061
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0061405 Issued in FL
Practice address
4340 W Hillsborough Ave Ste 210
Tampa, FL 33614-5522
Phone
(813) 425-8970
Fax
(813) 425-8925
NPI assigned
May 11, 2006
Last updated
Mar 25, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME0061405 FL Primary

Addresses

Primary practice location

4340 W Hillsborough Ave Ste 210
Tampa, FL 33614-5522

Mailing address

20615 Amberfield Dr
Land O Lakes, FL 34638-4387
Phone (813) 960-4894

Other practice location 1

15953 N Florida Ave
Stonewater Professional Park
Lutz, FL 33549-8100
Phone (813) 960-4894

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060707000071 FL Practitioner - Internal Medicine 3476565623 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Conviva Medical Center Management, LLCGroup PAC ID 4284717422, 507 clinicians

Practice addresses (Care Compare)

4340 W Hillsborough Ave
Suite 210
Tampa, FL 33614-5522
Phone (813) 425-8970

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Conviva Medical Center Management LLC Internal Medicine CurrentSince Sep 16, 2024 Accepting new patients

Locations

5238 Norwood Ave
#16
Jacksonville, FL 32208
Phone (904) 265-2050

1563 Land O Lakes Blvd
Lutz, FL 33549
Phone (813) 345-3831

4960 SW 72nd Ave
Ste 406
Miami, FL 33155

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

4340 W Hillsborough Ave
Ste 210
Tampa, FL 33614
Phone (813) 425-8970

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1295785061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20615 AMBERFIELD DR",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346384387",
            "telephone_number": "813-960-4894",
            "fax_number": "813-968-4894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4340 W HILLSBOROUGH AVE STE 210",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336145522",
            "telephone_number": "813-425-8970",
            "fax_number": "813-425-8925"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15953 N Florida Ave",
            "address_2": "Stonewater Professional Park",
            "address_purpose": "LOCATION",
            "city": "Lutz",
            "state": "FL",
            "postal_code": "335498100",
            "country_code": "US",
            "telephone_number": "813-960-4894",
            "fax_number": "813-968-4894",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "VRAJESHKUMAR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0061405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.