NPIMap

Organization Active NPI

Gi Health Specialists of Florida LLC

  • Gastroenterology Physician
  • Palm Harbor, FL
National Provider Identifier
1386406536
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
GI HEALTH SPECIALISTS OF FLORIDA LLC
Practice address
3825 Countryside Blvd N
Palm Harbor, FL 34684-4928
Phone
(727) 784-2848
NPI assigned
Jan 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Authorized official

Name
Dr. Badal Shah Shah, DO
Title
Owner
Phone
(904) 859-5029

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

3825 Countryside Blvd N
Palm Harbor, FL 34684-4928

Mailing address

12191 W Linebaugh Ave Ste 770
Westchase, FL 33626-1732

Other practice location 1

2144 Welbilt Blvd
Trinity, FL 34655-5186
Phone (727) 859-4100

Other practice location 2

1061 Virginia St
Dunedin, FL 34698-7326
Phone (727) 733-4189

Other practice location 3

4610 S Manhattan Ave
Tampa, FL 33611-2308
Phone (813) 839-5311

Other practice location 4

3030 W Bearss Ave
Tampa, FL 33618-1811
Phone (813) 968-8777 ext. 1214

Other practice location 5

3117 W Gandy Blvd
Tampa, FL 33611-2927
Phone (813) 261-5500

Other practice location 6

6020 Indiana Ave
New Port Richey, FL 34653-3214
Phone (727) 843-0600

Other practice location 7

518 W Fletcher Ave
Tampa, FL 33612-3419
Phone (813) 265-1600

Other practice location 8

8600 US Highway 19 N
Pinellas Park, FL 33782-5804
Phone (727) 541-7515

Other practice location 9

549 Sky Harbor Dr Bldg 31
Clearwater, FL 33759-3930
Phone (727) 724-6800

Other practice location 10

16702 N Dale Mabry Hwy
Tampa, FL 33618-1055
Phone (813) 736-1401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240311004190 FL Part B Supplier - Clinic/Group Practice 4789020843 Receives reassigned benefits from 7 practitioners
Practice locations: Tampa, FL; St. Petersburg, FL; Spring Hill, FL; Trinity, FL; Brooksville, FL; Pinellas Park, FL; Brandon, FL; Clearwater, FL…

National Provider Directory

National Provider Directory

Locations

12440 Cortez Blvd
Spring Hill, FL 34613
Phone (352) 592-4250

811 Jackson St N
St Petersburg, FL 33705
Phone (352) 528-3561

1307 W Kennedy Blvd
Tampa, FL 33606
Phone (813) 495-5567

4411 N Habana Ave
Tampa, FL 33614
Phone (813) 872-2771

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1386406536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12191 W LINEBAUGH AVE STE 770",
            "city": "WESTCHASE",
            "state": "FL",
            "postal_code": "336261732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 COUNTRYSIDE BLVD N",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346844928",
            "telephone_number": "727-784-2848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2144 Welbilt Blvd",
            "address_purpose": "LOCATION",
            "city": "Trinity",
            "state": "FL",
            "postal_code": "346555186",
            "country_code": "US",
            "telephone_number": "727-859-4100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1061 Virginia St",
            "address_purpose": "LOCATION",
            "city": "Dunedin",
            "state": "FL",
            "postal_code": "346987326",
            "country_code": "US",
            "telephone_number": "727-733-4189",
            "fax_number": "727-734-7651",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4610 S Manhattan Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336112308",
            "country_code": "US",
            "telephone_number": "813-839-5311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3030 W Bearss Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336181811",
            "country_code": "US",
            "telephone_number": "813-968-8777 x1214",
            "fax_number": "813-968-5189",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3117 W Gandy Blvd",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336112927",
            "country_code": "US",
            "telephone_number": "813-261-5500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6020 Indiana Ave",
            "address_purpose": "LOCATION",
            "city": "New Port Richey",
            "state": "FL",
            "postal_code": "346533214",
            "country_code": "US",
            "telephone_number": "727-843-0600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "518 W Fletcher Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336123419",
            "country_code": "US",
            "telephone_number": "813-265-1600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8600 US Highway 19 N",
            "address_purpose": "LOCATION",
            "city": "Pinellas Park",
            "state": "FL",
            "postal_code": "337825804",
            "country_code": "US",
            "telephone_number": "727-541-7515",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "549 Sky Harbor Dr Bldg 31",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337593930",
            "country_code": "US",
            "telephone_number": "727-724-6800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16702 N Dale Mabry Hwy",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336181055",
            "country_code": "US",
            "telephone_number": "813-736-1401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GI HEALTH SPECIALISTS OF FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-24",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "BADAL SHAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-859-5029",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.