Individual provider Active NPI

Jilan Shah, M.D.

  • Infectious Disease Physician
  • South Miami, FL
National Provider Identifier
1316092026
Registry record updated Jul 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
228373 Issued in NY
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

Updated by the provider on Jul 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
02440691MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040406001666 NY Practitioner - Infectious DiseasePractitioner - Internal Medicine 4880687615 Reassigns benefits to 2 organizations
I20240624001540 FL Practitioner - Infectious Disease 4880687615 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wyckoff Professional Medical Services, PC Infectious Disease CurrentSince Oct 14, 2017 Accepting new patients
Associates in Infectious Diseases Infectious Disease CurrentSince Aug 21, 2025 Accepting new patients
Midway Specialty Care Center Inc Infectious Disease CurrentSince Jun 1, 2024 Accepting new patients
Coney Island Medical Practice Plan, P.C. CurrentSince Jan 16, 2024 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/IDBEAA/Endpoint/IDBEAA
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.