Active NPI
Saurin Shah, M.D
- Family Medicine Physician
- Port Richey, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME83711
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ME83711 | Other | FL | LICENSE NO |
| P00338805 | Other | FL | RR MEDICARE |
| 269792100 | Medicaid | FL |
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
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| ME83711 | FL | MD | Family Medicine Physician |
Practice roles (5 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palm Medical Centers | Current | Accepting new patients | |
| Palm Medical Center Little Havana, LLC | Current | Accepting new patients | |
| Health Holdings Company LLC | Current | Accepting new patients | |
| Palm Medical Center Lakeland LLC | Past | Accepting new patients | |
| Elias Kanaan MD PA | Past | 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
- 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.
-
- Primary Care Clinic/Center
- Coral Gables, FL
- NPI 1336583707
-
- Clinic/Center
- Miami, FL
- NPI 1497271118
-
- Clinic/Center
- Dade City, FL
- NPI 1952039562
-
- Internal Medicine Physician
- Clearwater, FL
- NPI 1538177928
-
- Clinic/Center
- Lakeland, FL
- NPI 1437650579
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2015; 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.