Individual provider Active NPI

Satish J Shah, MD

  • Radiation Oncology Physician
  • Holiday, FL
National Provider Identifier
1427155191
Registry record updated Jan 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
ME62439 Issued in FL
Practice address
3000 US Highway 19
Holiday, FL 34691-2635
Phone
(727) 344-6569
Fax
(727) 384-4388
NPI assigned
Sep 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 62439 FL
Radiation Oncology Physician 2085R0001X ME62439 FL Primary

Addresses

Primary practice location

3000 US Highway 19
Holiday, FL 34691-2635

Mailing address

5000 Park St N Ste 1017
St Petersburg, FL 33709-2236
Phone (727) 344-6570

Other practice location 1

200 Clinic Dr
Madisonville, KY 42431-1661
Phone (270) 825-7200

Other practice location 2

5000 Park St N Ste 1017
St Petersburg, FL 33709
Phone (727) 544-5444

Other practice location 3

3611 Little Rd
Trinity, FL 34655-1813
Phone (727) 312-4300

Other practice location 4

603 7th St S Ste 560
St Petersburg, FL 33701-4732
Phone (727) 820-7714

Other practice location 5

4114 Woodlands Pkwy Ste 301
Palm Harbor, FL 34685-3450
Phone (727) 344-6569

Other practice location 6

1258 W Bay Dr Ste G
Largo, FL 33770-2245
Phone (727) 344-6569

Other practice location 7

401 Vonderburg Dr
Brandon, FL 33511-5963
Phone (813) 684-2339

Other practice location 8

5000 Park St N Ste 1017
St Petersburg, FL 33709
Phone (727) 544-5444

Other practice location 9

3501 Cortez Rd W
Bradenton, FL 34210-3196
Phone (727) 344-6569

Other practice location 10

6555 Cortez Rd W
Bradenton, FL 34210-2608
Phone (727) 344-6569

Other identifiers 3

IdentifierTypeStateIssuer
KY325OtherFLMEDICARE
021323000MedicaidFL
KY326OtherMEDICARE

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
I20170805000101 FL Practitioner - Radiation Oncology 4789728973 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.76 of 100Reported as group
Quality
59.78
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
62439FLMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Cancer Specialists & Research Institute, LLC Radiation Oncology CurrentSince Jul 3, 2017 Accepting new patients
Comprehensive Hematology Oncology LLC CurrentSince Jan 27, 2019 Accepting new patients
Comprehensive Hematology Oncology LLC CurrentSince Jan 27, 2019 Accepting new patients

Locations

6555 Cortez Rd W
Bradenton, FL 34210
Phone (813) 278-5062

3501 Cortez Rd W
Bradenton, FL 34210
Phone (941) 752-2700

401 Vonderburg Dr
Brandon, FL 33511
Phone (813) 684-2339

3000 US Highway 19
Holiday, FL 34691
Phone (727) 942-7070

1835 Indian Rocks Rd S
Largo, FL 33774
Phone (727) 586-2273

1258 West Bay Dr
Ste G
Largo, FL 33770
Phone (727) 935-0500

4114 Woodlands Pkwy
Ste 301
Palm Harbor, FL 34685
Phone (727) 789-2595

1970 Golf St
Fl Cancer
Sarasota, FL 34236
Phone (941) 795-3780

1609 Pasadena Ave S
Ste 2E
South Pasadena, FL 33707
Phone (727) 289-7173

5000 Park St N
Ste 1017
St Petersburg, FL 33709
Phone (727) 344-6570

603 7th St S
Ste 560
St Petersburg, FL 33701
Phone (727) 820-7714

3402 W Dr Martin Luther King Jr Blvd
Fl Cancer
Tampa, FL 33607
Phone (813) 875-3950

3611 Little Rd
Trinity, FL 34655
Phone (727) 312-4300

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1427155191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 PARK ST N STE 1017",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337092236",
            "telephone_number": "727-344-6570",
            "fax_number": "727-384-4388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 US HIGHWAY 19",
            "city": "HOLIDAY",
            "state": "FL",
            "postal_code": "346912635",
            "telephone_number": "727-344-6569",
            "fax_number": "727-384-4388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Clinic Dr",
            "address_purpose": "LOCATION",
            "city": "Madisonville",
            "state": "KY",
            "postal_code": "424311661",
            "country_code": "US",
            "telephone_number": "270-825-7200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5000 Park St N Ste 1017",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "33709",
            "country_code": "US",
            "telephone_number": "727-544-5444",
            "fax_number": "727-544-5441",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3611 Little Rd",
            "address_purpose": "LOCATION",
            "city": "Trinity",
            "state": "FL",
            "postal_code": "346551813",
            "country_code": "US",
            "telephone_number": "727-312-4300",
            "fax_number": "727-312-4335",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "603 7th St S Ste 560",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337014732",
            "country_code": "US",
            "telephone_number": "727-820-7714",
            "fax_number": "727-202-6455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4114 Woodlands Pkwy Ste 301",
            "address_purpose": "LOCATION",
            "city": "Palm Harbor",
            "state": "FL",
            "postal_code": "346853450",
            "country_code": "US",
            "telephone_number": "727-344-6569",
            "fax_number": "727-384-4388",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1258 W Bay Dr Ste G",
            "address_purpose": "LOCATION",
            "city": "Largo",
            "state": "FL",
            "postal_code": "337702245",
            "country_code": "US",
            "telephone_number": "727-344-6569",
            "fax_number": "727-384-4388",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 Vonderburg Dr",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335115963",
            "country_code": "US",
            "telephone_number": "813-684-2339",
            "fax_number": "727-384-4388",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5000 Park St N Ste 1017",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "33709",
            "country_code": "US",
            "telephone_number": "727-544-5444",
            "fax_number": "727-544-5441",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3501 Cortez Rd W",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342103196",
            "country_code": "US",
            "telephone_number": "727-344-6569",
            "fax_number": "727-384-4388",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6555 Cortez Rd W",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342102608",
            "country_code": "US",
            "telephone_number": "727-344-6569",
            "fax_number": "727-384-4388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SATISH",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-17",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "FL",
            "license": "62439",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "FL",
            "license": "ME62439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "KY325",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021323000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "KY326",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holiday, FL

Sources for this page

Verify at the official NPI Registry.