Syed Hadi Shah, MD

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

ME108175 Issued in FL

Practice address

6920 N Dale Mabry Hwy
Tampa, FL 33614-3931

Phone

(813) 212-1120

Fax

(813) 412-8404

NPI assigned

Jun 6, 2007

Last updated

Sep 29, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2019 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Performance Lab LLC

  dba The Performance Lab

  • Multi-Specialty Clinic/Center
  • Tampa, FL
  • NPI 1356166391

  Sports Medicine

  NPD
• Avid Health Plans LLC

  dba Avid Health Plans

  • Health Maintenance Organization
  • Tampa, FL
  • NPI 1629397773
  NPD (past)
• Lake Shore Hma, LLC

  dba Shands Lake Shore Regional Medical Center

  • General Acute Care Hospital
  • Lake City, FL
  • NPI 1386743045
  NPD (past)
• Radley L Griffin MD PL

  • Specialist
  • Tampa, FL
  • NPI 1194908517
  NPD (past)

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1720281058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6920 N DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336143931",
            "telephone_number": "813-212-1120",
            "fax_number": "813-412-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6920 N DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336143931",
            "telephone_number": "813-212-1120",
            "fax_number": "813-412-8404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SYED",
        "middle_name": "HADI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-06",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "FL",
            "license": "ME108175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shipra S Shah, NP
• Shirish Shah, MD
• Shuchi Shah, M.D.
• Sneha Shah, DMD
• Suketu Kanu Shah, MD
• Tanvi Shah, RPH
• Tanvi K Shah
• Venus Shah, PHARM.D.
• Vimal Vipinchandra Shah, MD
• Vipul Ramanlal Shah, M.D.

• Sports Medicine (Family Medicine) Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Sports Medicine (Family Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.