Individual provider Active NPI

Nihal K Shah, MD

  • Psychiatry Physician
  • Largo, FL
National Provider Identifier
1407829088
Registry record updated Feb 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME86976 Issued in FL
Practice address
1100 Clearwater Largo Rd N
Largo, FL 33770-4131
Phone
(727) 518-6444
Fax
(727) 581-2678
NPI assigned
Feb 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME86976 FL Primary

Addresses

Primary practice location

1100 Clearwater Largo Rd N
Largo, FL 33770-4131

Mailing address

1100 Clearwater Largo Rd N
Largo, FL 33770-4131
Phone (727) 518-6444

Other identifiers 1

IdentifierTypeStateIssuer
268164100MedicaidFL

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20120301000335 FL Practitioner - Psychiatry 5597923078 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Behavioral Institute PLCGroup PAC ID 6305740093, 12 clinicians

Practice addresses (Care Compare)

1100 Clearwater Largo N Rd
Largo, FL 33770-4131
Phone (727) 518-6444

1100 Clearwater Largo Rd
Largo, FL 33770-4131

1100 Clearwater Largo Rd N
Largo, FL 33770-4131

1210 66TH St N
St.Petersburg, FL 33710-6226
Phone (727) 518-6444

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Behavioral Institute PLC Psychiatry CurrentSince Jul 1, 2003 Accepting new patients
Windmoor Healthcare Inc Psychiatry CurrentSince Aug 17, 2021 Accepting new patients

Locations

11300 US Highway 19 N
Clearwater, FL 33764
Phone (727) 541-2646

1100 Clearwater Largo Rd N
Largo, FL 33770
Phone (727) 518-6444

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296518400000",
    "number": "1407829088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 CLEARWATER LARGO RD N",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337704131",
            "telephone_number": "727-518-6444",
            "fax_number": "727-581-2678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 CLEARWATER LARGO RD N",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337704131",
            "telephone_number": "727-518-6444",
            "fax_number": "727-581-2678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "NIHAL",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2011-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME86976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268164100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

Verify at the official NPI Registry.