Active NPI
Jilan Shah, M.D.
- Infectious Disease Physician
- South Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 228373
- Practice address
- 7000 SW 62ND Ave Ste 320
South Miami, FL 33143-4717 - Phone
- (305) 740-6074
- NPI assigned
- Jan 24, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 228373 | NY | Primary |
Addresses
Primary practice location
7000 SW 62ND Ave Ste 320
South Miami, FL 33143-4717
Mailing address
1010 Brickell Ave Unit 2103
Miami, FL 33131-3766
Phone (646) 207-5799
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02440691 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wyckoff Professional Medical Services, PC | Infectious Disease | Current | Accepting new patients |
| Associates in Infectious Diseases | Infectious Disease | Current | Accepting new patients |
| Midway Specialty Care Center Inc | Infectious Disease | Current | Accepting new patients |
| Coney Island Medical Practice Plan, P.C. | Current | Accepting new patients |
Locations
356 E Midway Rd
Fort Pierce, FL 34982
Phone (772) 464-9746
1801 SE Hillmoor Dr
Ste C-207
Port St Lucie, FL 34952
Phone (772) 335-4234
7000 SW 62nd Ave
Ste 320
South Miami, FL 33143
Phone (305) 740-6071
2601 Ocean Pkwy
Rm 2N17
Brooklyn, NY 11235
374 Stockholm St
#13202
Brooklyn, NY 11237
Phone (718) 963-6793
374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485
2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IDBEAA/Endpoint/IDBEAA
- jshah3982059@nychhc.direct-ci.com
Organizations & group practices 4
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.
-
- Infectious Disease Physician
- Port St Lucie, FL
- NPI 1336156934
-
- Infectious Disease Physician
- Fort Pierce, FL
- NPI 1376970814
-
- General Practice Physician
- Brooklyn, NY
- NPI 1386951762
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1659710796
Infectious Disease
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720137600000",
"number": "1316092026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 BRICKELL AVE UNIT 2103",
"city": "MIAMI",
"state": "FL",
"postal_code": "331313766",
"telephone_number": "646-207-5799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7000 SW 62ND AVE STE 320",
"city": "SOUTH MIAMI",
"state": "FL",
"postal_code": "331434717",
"telephone_number": "305-740-6074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "JILAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-24",
"last_updated": "2024-07-05",
"certification_date": "2024-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "NY",
"license": "228373",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02440691",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.