Organization Active NPI

MD Hospital Care Inc

  • Hospitalist Physician
  • Fort Pierce, FL
National Provider Identifier
1649828252
Registry record updated Nov 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
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

Updated by the provider on Nov 5, 2019

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

Authorized official

Name
Dr. Chintan B Shah, MDNPI 1871782268
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)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0002X
Hospitalist PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20191127002160 FL Part B Supplier - Clinic/Group Practice 7618300963 Receives reassigned benefits from 2 practitioners
Practice locations: Fort Pierce, FL; Port Saint Lucie, FL; Port St Lucie, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.