Individual provider Active NPI

Hiral Kirtikant Shah, MD

  • Radiation Oncology Physician
  • Clearwater, FL
National Provider Identifier
1679513295
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
ME95452 Issued in FL
Practice address
3280 N McMullen Booth Rd Ste 150
Clearwater, FL 33761-2046
Phone
(727) 966-4673
Fax
(727) 608-5464
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME95452 FL
Radiation Oncology Physician 2085R0001X ME95452 FL Primary

Addresses

Primary practice location

3280 N McMullen Booth Rd Ste 150
Clearwater, FL 33761-2046

Mailing address

PO Box 394
Oldsmar, FL 34677-0394
Phone (727) 966-4673

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
I20060728000030 FL Practitioner - Radiation Oncology 6507879020 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clearwater Radiation Oncology LLCGroup PAC ID 3577931088, 2 clinicians

Practice addresses (Care Compare)

3280 N McMullen Booth Rd
Suite 150
Clearwater, FL 33761-2046
Phone (727) 966-4673

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME95452FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Clearwater Radiation Oncology LLC Radiation Oncology CurrentSince Jan 1, 2023 Accepting new patients
NMC LLC Radiation Oncology Past Accepting new patients

Locations

3280 N McMullen Booth Rd
Ste 150
Clearwater, FL 33761
Phone (727) 496-3001

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 2

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1679513295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 394",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "346770394",
            "telephone_number": "727-966-4673",
            "fax_number": "727-608-5464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 N MCMULLEN BOOTH RD STE 150",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612046",
            "telephone_number": "727-966-4673",
            "fax_number": "727-608-5464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "HIRAL",
        "middle_name": "KIRTIKANT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME95452",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "FL",
            "license": "ME95452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.