Individual provider Active NPI

Kumar Shah, M.D.

  • Vascular & Interventional Radiology Physician
  • Miami, FL
National Provider Identifier
1457613952
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
ME144246 Issued in FL
Practice address
1400 NW 12TH Ave
Miami, FL 33136-1003
Phone
(305) 689-5511
NPI assigned
Jun 11, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X ME144246 FL Primary

Addresses

Primary practice location

1400 NW 12TH Ave
Miami, FL 33136-1003

Mailing address

1400 NW 12TH Ave
Miami, FL 33136-1003
Phone (305) 689-5511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180509001126 NJ Practitioner - Diagnostic Radiology 4688938152 Reassigns benefits to 6 organizations
I20200306001445 FL Practitioner - Diagnostic Radiology 4688938152 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Radiology Group LLCGroup PAC ID 6608868500, 239 clinicians
University of MiamiGroup PAC ID 3274795109, 2,346 clinicians
Intellirad Imaging LLCGroup PAC ID 9739333790, 60 clinicians

Practice addresses (Care Compare)

10445 SW 57TH CT
Cooper City, FL 33328-6305
Phone (732) 390-0040

1400 NW 12TH Ave
Miami, FL 33136-1003
Phone (305) 689-7272

3663 S Miami Ave
Miami, FL 33133-4253
Phone (305) 854-4400

483 Cranbury Rd
East Brunswick, NJ 08816-3610
Phone 73239000402022

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.93 of 100Reported as group
Quality
78.79
Promoting interoperability
100
Improvement activities
40
Cost
71.44

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
97.25
Improvement activities
40
Cost
82.25

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME144246FLMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sheridan Radiology Services of Central Florida Inc Diagnostic Radiology Current Accepting new patients
Nchmd, Inc CurrentSince May 11, 2021 Accepting new patients
University of Miami CurrentSince Jul 1, 2023 Accepting new patients
Proscan NCH Imaging LLC Diagnostic Radiology CurrentSince Jun 1, 2021 Accepting new patients
University of Miami Diagnostic Radiology CurrentSince Jul 1, 2023 Accepting new patients
Nchmd Inc CurrentSince May 11, 2021 Accepting new patients
Radiology Physician Solutions of West Florida, LLC Diagnostic Radiology CurrentSince Feb 20, 2020 Accepting new patients
University Radiology at Cooper, LLC Diagnostic Radiology CurrentSince Apr 1, 2025 Accepting new patients
University of Miami Current Accepting new patients
Radiology Physician Solutions of West Florida, LLC Diagnostic Radiology CurrentSince Feb 20, 2020 Accepting new patients
Proscan NCH Imaging LLC Diagnostic Radiology CurrentSince Jun 1, 2021 Accepting new patients
Intellirad Imaging, LLC Diagnostic Radiology CurrentSince Sep 1, 2022 Accepting new patients
Sheridan Radiology Services of Pinellas, Inc. Diagnostic Radiology Current Accepting new patients
Sheridan Radiology Services of South Florida, Inc. Diagnostic Radiology Past Accepting new patients

Locations (25 of 30)

119 Oakfield Dr
Brandon, FL 33511
Phone (813) 571-5150

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

1000 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 374-9610

502 W Highland Blvd
Inverness, FL 34452
Phone (352) 344-6481

700 W Oak St
Kissimmee, FL 34741
Phone (407) 518-3553

5000 W Oakland Park Blvd
Lauderdale Lakes, FL 33313
Phone (866) 747-5834

11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544

11760 SW 40th St
Ste 703
Miami, FL 33175

1801 NW 9th Ave
Fl 6
Miami, FL 33136
Phone (305) 355-5006

1400 NW 12th Ave
Miami, FL 33136
Phone (305) 325-5416

3661 S Miami Ave
Ste 1001
Miami, FL 33133
Phone (305) 858-2299

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

3663 S Miami Ave
Miami, FL 33133
Phone (305) 285-2131

1150 NW 14th St
Miami, FL 33136
Phone (305) 243-6165

1100 NW 95th St
Miami Shores, FL 33150
Phone (305) 835-6000

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

680 2nd Ave N
Ste 304
Naples, FL 34102
Phone (239) 261-7711

1020 Crosspointe Dr
Ste 103
Naples, FL 34110
Phone (239) 624-4443

8383 N Davis Hwy
Pensacola, FL 32514
Phone (850) 494-3212

401 NW 42nd Ave
Plantation, FL 33317
Phone (954) 513-6434

8201 W Broward Blvd
Plantation, FL 33324
Phone (954) 476-3900

1401 W Seminole Blvd
Sanford, FL 32771
Phone (317) 805-2316

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

2626 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 325-5000

9330 State Road 54
Trinity, FL 34655
Phone (727) 834-4000

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1457613952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 NW 12TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361003",
            "telephone_number": "305-689-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 NW 12TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361003",
            "telephone_number": "305-689-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "KUMAR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-11",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "FL",
            "license": "ME144246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.