Individual provider Active NPI

Nipa Ravi Shah, DO

  • Anesthesiology Physician
  • Orlando, FL
National Provider Identifier
1508039231
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
OS10418 Issued in FL
Practice address
62 Columbia St
Orlando, FL 32806-1115
Phone
(321) 841-9278
Fax
(321) 843-1673
NPI assigned
Apr 2, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X N/A NY
Anesthesiology Physician 207L00000X OS10418 FL Primary

Addresses

Primary practice location

62 Columbia St
Orlando, FL 32806-1115

Mailing address

62 Columbia St
Orlando, FL 32806-1115
Phone (321) 841-9278

Other identifiers 1

IdentifierTypeStateIssuer
000359600MedicaidFL

Other names 1

  • Nipa Shah Gandhi Former name

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
I20081203000792 FL Practitioner - Anesthesiology 0244391647 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
New York College of Osteo Medicine of New York Institute of Technology, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

62 Columbia St
Orlando, FL 32806-1115
Phone (321) 843-5851

Merit-based Incentive Payment System (MIPS)

Final score
79.91 of 100Reported as group
Quality
61.18
Promoting interoperability
100
Improvement activities
40
Cost
71.86

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N/ANYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amsurg Port Orange Anesthesia, LLC Anesthesiology CurrentSince May 7, 2017 Accepting new patients
Anesthesia Dynamics LLC Anesthesiology CurrentSince Sep 1, 2023 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Apr 1, 2023 Accepting new patients
Ams National LLC Anesthesiology CurrentSince Jun 12, 2018 Accepting new patients
Amsurg Tampa Bay Anesthesia LLC Anesthesiology CurrentSince Dec 7, 2016 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Apr 1, 2023 Accepting new patients
Innovative Medical Staffing Solutions Inc Anesthesiology CurrentSince Oct 9, 2023 Accepting new patients
Sheridan Healthcorp, Inc. Anesthesiology CurrentSince Sep 1, 2017 Accepting new patients
North Tampa Anesthesia Consultants Anesthesiology CurrentSince Feb 1, 2017 Accepting new patients
Sheridan Healthcorp Inc Anesthesiology CurrentSince Sep 1, 2017 Accepting new patients
Amsurg Citrus Anesthesia LLC Anesthesiology CurrentSince Aug 30, 2016 Accepting new patients
Sheridan Healthcorp Inc Anesthesiology Current Accepting new patients
Fleming Island Anesthesia LLC Anesthesiology CurrentSince Dec 11, 2023 Accepting new patients

Locations (25 of 28)

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

4571 Colonial Blvd
Ste 200
Fort Myers, FL 33966
Phone (239) 333-2050

905 N John Young Pkwy
Kissimmee, FL 34741
Phone (407) 256-0933

2275 N Central Ave
Kissimmee, FL 34741
Phone (407) 570-0573

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

110 N Lecanto Hwy
Lecanto, FL 34461
Phone (352) 527-1825

555 W State Road 434
Longwood, FL 32750
Phone (407) 767-1200

2222 S Harbor City Blvd
Ste 540
Melbourne, FL 32901
Phone (321) 541-1776

8240 Devereux Dr
Ste 100
Melbourne, FL 32940
Phone (317) 805-4102

2200 W Eau Gallie Blvd
Ste 100
Melbourne, FL 32935
Phone (321) 344-0930

9035 Sunset Dr
Ste 200
Miami, FL 33173
Phone (786) 615-6210

6002 Berryhill Rd
Milton, FL 32570
Phone (850) 474-8688

130 Tamiami Trl N
Ste 210
Naples, FL 34102
Phone (239) 434-8707

1670 Eagle Harbor Pkwy
Ste B
Orange Park, FL 32003
Phone (904) 541-3048

6900 Turkey Lake Rd
Ste 2-5
Orlando, FL 32819
Phone (407) 354-5401

62 Columbia St
Orlando, FL 32806
Phone (321) 214-4903

83 W Miller St
Orlando, FL 32806
Phone (321) 841-5281

2861 Delaney Ave
Ste A
Orlando, FL 32806
Phone (407) 472-5095

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000

3635 Clyde Morris Blvd
Ste 500
Port Orange, FL 32129
Phone (386) 760-8151

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

10461 Quality Dr
Spring Hill, FL 34609
Phone (352) 688-3002

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 13

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 13

NPI Registry JSON

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1508039231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 COLUMBIA ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061115",
            "telephone_number": "321-841-9278",
            "fax_number": "321-843-1673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 COLUMBIA ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061115",
            "telephone_number": "321-841-9278",
            "fax_number": "321-843-1673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "NIPA",
        "middle_name": "RAVI",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-02",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "N/A",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "OS10418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000359600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NIPA",
            "last_name": "GANDHI",
            "middle_name": "SHAH",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.