Jayesh S Shah, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

ME62438 Issued in FL

Practice address

1426 W Busch Blvd Ste 105
Tampa, FL 33612-7648

Phone

(813) 935-0222

Fax

(813) 877-6330

NPI assigned

Aug 19, 2006

Last updated

May 12, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 8

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

NephrologyAlso: Internal Medicine

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• DaVita Greater Tampa at Home PD Dialysis facility, Tampa, FL, CCN 102885
• DaVita East Tampa Dialysis Dialysis facility, Ybor City, FL, CCN 102886
• DaVita Central Tampa Dialysis Dialysis facility, Tampa, FL, CCN 102605
• DaVita Del Rio Dialysis Dialysis facility, Tampa, FL, CCN 682683
• St Josephs Hospital Hospital, Tampa, FL, CCN 100075

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BBCJAA/Endpoint/BBCJAA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jayesh S Shah MD

  • Nephrology Physician
  • Tampa, FL
  • NPI 1770697187
  NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bayfield Dialysis LLC

  dba Del Rio Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Tampa, FL
  • NPI 1932677838

  Dialysis facility

  Care Compare affiliation Name & address match
• Dva Healthcare Renal Care Inc.

  dba Central Tampa Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Tampa, FL
  • NPI 1053389536

  Dialysis facility

  Care Compare affiliation Name & address match
• Safeharbor Dialysis LLC

  dba East Tampa Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Ybor City, FL
  • NPI 1063657088

  Dialysis facility

  Care Compare affiliation Name & address match
• Ybor City Dialysis LLC

  dba Greater Tampa at Home

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Tampa, FL
  • NPI 1205006228

  Dialysis facility

  Care Compare affiliation Name & address match
• St. Joseph's Hospital, Inc.

  dba St. Joseph's Women's Hospital

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1346519816
  Care Compare affiliation
• St. Joseph's Hospital, Inc.

  dba St. Joseph's Hospital

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1881632818
  Care Compare affiliation

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589241600000",
    "number": "1366556771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1426 W BUSCH BLVD STE 105",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336127648",
            "telephone_number": "813-935-0222",
            "fax_number": "813-877-6330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1426 W BUSCH BLVD STE 105",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336127648",
            "telephone_number": "813-935-0222",
            "fax_number": "813-877-6330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "JAYESH",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME62438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00477293",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370960400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "205996",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "6009848",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSAL",
            "identifier": "00700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE & HEALTHEASE",
            "identifier": "00128",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "17903",
            "identifier": "BCBS",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "202573",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beejal Shah, MD
• Bharat D. Shah, RPH
• Bijal Shah, M.D.
• Chintalkumar B Shah
• Dipak Shah, M.D.
• Kant Shah, MD
• Khussbu Shah, OD
• Krisha Shah, PA-C
• Kruti Shah, PSY.D.
• Manisha Pankaj Shah, MOT MASTER OF OCCUPA

• Nephrology Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Nephrology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2020; 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.

Verify at the official NPI Registry.