Active NPI
MD Hospital Care Inc
- Hospitalist Physician
- Fort Pierce, FL
National Provider Identifier
1649828252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- Legal business name
- MD HOSPITAL CARE INC
- Practice address
- 2215 Nebraska Ave Ste 2-B
Fort Pierce, FL 34950-4866 - Phone
- (772) 302-3767
- Fax
- (888) 436-7197
- NPI assigned
- Aug 27, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Chintan B Shah, MD
- Title
- Ceo
- Phone
- (772) 302-3767
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | |||
| Hospitalist Physician | 208M00000X | Primary |
Addresses
Primary practice location
2215 Nebraska Ave Ste 2-B
Fort Pierce, FL 34950-4866
Mailing address
8113 Kiawah Trce
Port Saint Lucie, FL 34986-3026
Phone (772) 418-9204
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Fort Pierce, FL
- NPI 1871782268
-
- Gerontology Nurse Practitioner
- Jensen Beach, FL
- NPI 1427543685
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566864000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1572912000000",
"number": "1649828252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8113 KIAWAH TRCE",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349863026",
"telephone_number": "772-418-9204",
"fax_number": "888-436-7197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2215 NEBRASKA AVE STE 2-B",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349504866",
"telephone_number": "772-302-3767",
"fax_number": "888-436-7197"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MD HOSPITAL CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-27",
"last_updated": "2019-11-05",
"status": "A",
"authorized_official_last_name": "SHAH",
"authorized_official_first_name": "CHINTAN",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "772-302-3767",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RH0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Hospitalist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Pierce, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.