NPIMap

Organization Active NPI

Vipul R. Shah MD PA

  • Internal Medicine Physician
  • Tampa, FL
National Provider Identifier
1396871505
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0077541 Issued in FL
Legal business name
VIPUL R. SHAH MD PA
Practice address
10311 Cross Creek Blvd
Suite B
Tampa, FL 33647-2989
Phone
(813) 994-7670
Fax
(813) 994-7640
NPI assigned
Feb 24, 2007
Last updated
Jan 26, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Authorized official

Name
Vipul R. Shah, MDNPI 1992754329
Title
Director
Phone
(813) 579-0313

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME0077541 FL Primary

Addresses

Primary practice location

10311 Cross Creek Blvd
Suite B
Tampa, FL 33647-2989

Mailing address

PO Box 48947
Tampa, FL 33646-0125
Phone (813) 579-0313

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1172275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611619200000",
    "number": "1396871505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 48947",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336460125",
            "telephone_number": "813-579-0313",
            "fax_number": "902-460-6313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10311 CROSS CREEK BLVD",
            "address_2": "SUITE B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472989",
            "telephone_number": "813-994-7670",
            "fax_number": "813-994-7640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIPUL R. SHAH MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-24",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "VIPUL",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "813-579-0313",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0077541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; 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.