Individual provider Active NPI

Saurin Shah, M.D

  • Family Medicine Physician
  • Port Richey, FL
National Provider Identifier
1295893543
Registry record updated Oct 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME83711 Issued in FL
Practice address
6233 Ridge Rd
Port Richey, FL 34668-6743
Phone
(727) 845-3333
Fax
(727) 845-3308
NPI assigned
Dec 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME83711 FL Primary

Addresses

Primary practice location

6233 Ridge Rd
Port Richey, FL 34668-6743

Mailing address

6233 Ridge Rd
Port Richey, FL 34668-6743
Phone (727) 845-3333

Other identifiers 3

IdentifierTypeStateIssuer
ME83711OtherFLLICENSE NO
P00338805OtherFLRR MEDICARE
269792100MedicaidFL

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
I20040922001262 FL Practitioner - Family Practice 8224006317 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Holdings Company LLCGroup PAC ID 8224323050, 61 clinicians

Practice addresses (Care Compare)

6233 Ridge Rd
Port Richey, FL 34668-6743
Phone (727) 845-3333

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME83711FLMDFamily Medicine Physician

Practice roles (5 of 6)

OrganizationSpecialtyStatusNew patients
Palm Medical Centers CurrentSince Oct 1, 2022 Accepting new patients
Palm Medical Center Little Havana, LLC CurrentSince Oct 1, 2022 Accepting new patients
Health Holdings Company LLC Current Accepting new patients
Palm Medical Center Lakeland LLC PastSince Feb 1, 2021 Accepting new patients
Elias Kanaan MD PA PastSince Aug 20, 2001 Accepting new patients

Locations

2600 S Douglas Rd
Ste 308
Coral Gables, FL 33134
Phone (305) 777-9590

37235 Medical Dr
Dade City, FL 33525
Phone (352) 496-5823

135 E 1st St
Lakeland, FL 33805
Phone (863) 686-2728

2416 Land O Lakes Blvd
Ste A
Land O Lakes, FL 34639
Phone (813) 235-6200

2416 Land O Lakes Blvd
Land O Lakes, FL 34639
Phone (813) 235-6200

6233 Ridge Rd
Port Richey, FL 34668
Phone (727) 845-3333

6111 Deltona Blvd
Spring Hill, FL 34606
Phone (352) 596-2257

6836 Medical View Ln
Zephyrhills, FL 33542
Phone (813) 778-0454

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ADDJAA

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.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446076800000",
    "number": "1295893543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6233 RIDGE RD",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346686743",
            "telephone_number": "727-845-3333",
            "fax_number": "727-845-3308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6233 RIDGE RD",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346686743",
            "telephone_number": "727-845-3333",
            "fax_number": "727-845-3308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SAURIN",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2015-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME83711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NO",
            "identifier": "ME83711",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00338805",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269792100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Richey, FL

Sources for this page

Verify at the official NPI Registry.