NPIMap

Organization Active NPI

Purvin Shah, DO, LLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Naples, FL
National Provider Identifier
1336374545
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
Legal business name
PURVIN SHAH, DO, LLC
Practice address
6017 Pine Ridge Rd.
PMB #462
Naples, FL 34119
Phone
(904) 435-7993
NPI assigned
May 18, 2009
Last updated
Jan 28, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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

Authorized official

Name
Dr. Purvin Shah, D.O.NPI 1548268865
Title
Physician
Phone
(904) 435-7993

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0200X Primary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X

Addresses

Primary practice location

6017 Pine Ridge Rd.
PMB #462
Naples, FL 34119

Mailing address

6017 Pine Ridge Rd.
PMB #462
Naples, FL 34119
Phone (904) 435-7993

National Provider Directory

National Provider Directory

Locations

9802 Baymeadows Rd
Ste 12
Jacksonville, FL 32256
Phone (904) 443-1100

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1242604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643328000000",
    "number": "1336374545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6017 PINE RIDGE RD.",
            "address_2": "PMB #462",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "34119",
            "telephone_number": "904-435-7993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6017 PINE RIDGE RD.",
            "address_2": "PMB #462",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "34119",
            "telephone_number": "904-435-7993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURVIN SHAH, DO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-18",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-16",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "PURVIN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "904-435-7993",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.