NPIMap

Individual provider Active NPI

Rajani P.V. Shah, M.D.

  • Internal Medicine Physician
  • Tampa, FL
National Provider Identifier
1710936695
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME71862 Issued in FL
Practice address
8702 Hunters Lake Dr Ste 100
Tampa, FL 33647-2855
Phone
(813) 467-4700
Fax
(813) 467-4261
NPI assigned
May 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME71862 FL Primary

Addresses

Primary practice location

8702 Hunters Lake Dr Ste 100
Tampa, FL 33647-2855

Mailing address

2700 Healing Way Ste 112
Wesley Chapel, FL 33543-5453
Phone (813) 929-5330

Other practice location 1

10311 Cross Creek Blvd
Suite B
Tampa, FL 33647-2989
Phone (813) 994-7670

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110920000144 FL Practitioner - Internal Medicine 8820269004 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of South Florida College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Adventhealth Primary Care Network IncGroup PAC ID 1557722410, 428 clinicians

Practice addresses (Care Compare)

2435 Bexley Village Dr
Suite 200
Land O Lakes, FL 34638-2721
Phone (813) 467-4771

661 E Altamonte Dr
Suite 115
Altamonte Springs, FL 32701-5102
Phone (407) 831-4040

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME71862FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventhealth Primary Care Network Inc Internal Medicine CurrentSince Aug 1, 2023 Accepting new patients
Florida Hospital Physician Group Inc Internal Medicine CurrentSince Jul 27, 2020 Accepting new patients
Jaydeep Patel MD PA Past Accepting new patients
Vipul R. Shah MD PA Internal Medicine PastSince Jan 31, 2021 Accepting new patients

Locations

661 E Altamonte Dr
Ste 115
Altamonte Springs, FL 32701
Phone (407) 831-4040

2435 Bexley Village Dr
Ste 200
Land O Lakes, FL 34638
Phone (813) 467-4771

2435 Bexley Village Dr
#200
Land O Lakes, FL 34638
Phone (813) 467-4771

8702 Hunters Lake Dr
Ste 100
Tampa, FL 33647
Phone (813) 467-4700

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

2700 Healing Way
Ste 112
Wesley Chapel, FL 33543
Phone (813) 929-5226

Interoperability endpoints

  • Direct secure messaging: rshah73619@adventhealth.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 9

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": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1710936695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 HEALING WAY STE 112",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335435453",
            "telephone_number": "813-929-5330",
            "fax_number": "813-929-5332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8702 HUNTERS LAKE DR STE 100",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472855",
            "telephone_number": "813-467-4700",
            "fax_number": "813-467-4261"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10311 Cross Creek Blvd",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336472989",
            "country_code": "US",
            "telephone_number": "813-994-7670",
            "fax_number": "813-994-7640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "RAJANI",
        "middle_name": "P.V.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-09",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME71862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.