Girish S Shroff, MD

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

ME68857 Issued in FL

Practice address

820 Prudential Dr Ste 112
Credentialing Department
Jacksonville, FL 32207-8204

Phone

(904) 396-5996

Fax

(904) 398-2480

NPI assigned

Apr 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Baptist Cardiology, Inc.

  dba Baptist Heart Specialists

  • Cardiovascular Disease Physician
  • Jacksonville, FL
  • NPI 1760751598
  Medicare reassignment NPD
• Ecg Associates of Jacksonville P a

  • Cardiology Technician
  • Jacksonville, FL
  • NPI 1679796395
  Medicare reassignment NPD
• Southern Heart Group

  dba Diagnostic Cardiology Assoc

  • Cardiovascular Disease Physician
  • Jacksonville, FL
  • NPI 1962484220
  NPD (past)
• St Vincents Electrocardiography, Inc

  • Specialist
  • Jacksonville, FL
  • NPI 1902964000
  NPD (past)
• Paul M. Berkowitz, M.D., S.C.

  • Psychiatry Physician
  • Deerfield, IL
  • NPI 1922031707
  NPD (past)

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447804800000",
    "number": "1336105519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43667",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322033667",
            "telephone_number": "904-398-3760",
            "fax_number": "904-398-2480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 PRUDENTIAL DR STE 112",
            "address_2": "CREDENTIALING DEPARTMENT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078204",
            "telephone_number": "904-396-5996",
            "fax_number": "904-398-2480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHROFF",
        "first_name": "GIRISH",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2015-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME68857",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME68857",
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "FL",
            "license": "ME68857",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060071305",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "379675200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy Marshall Shreve, P.T.
• Shri Balaji Medical Services
• Shriji Swami LLC (Monument Pharmacy)
• Shriji Swami LLC (Monument Pharmacy)
• Ryan R Shrode, ARNP
• Kaitlyn Kludjian Shrum, MA CCC/SLP
• Chrisandra Lee Shufelt, M.D., M.S.
• Christopher Shuff, R.D., LD/N
• Eric Messer Shuffle, MD
• Amal Mohammed M Shukri

• Interventional Cardiology Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Interventional Cardiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.