Individual provider Active NPI

Abid H Shah, M.D.

  • Interventional Cardiology Physician
  • Saint Cloud, FL
National Provider Identifier
1720423601
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
ME145400 Issued in FL
Practice address
1330 Budinger Ave Ste 101
Saint Cloud, FL 34769-4123
Phone
(407) 891-2940
Fax
(407) 891-2941
NPI assigned
May 6, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 56045 CT
Student in an Organized Health Care Education/Training Program 390200000X
Interventional Cardiology Physician 207RI0011X ME145400 FL Primary

Addresses

Primary practice location

1330 Budinger Ave Ste 101
Saint Cloud, FL 34769-4123

Mailing address

635 1St St N
Winter Haven, FL 33881-4191
Phone (863) 294-0670

Other practice location 1

267 Grant St
Dept. of Cardiology
Bridgeport, CT 06610-2805
Phone (203) 384-3442

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
I20200709001181 FL Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 7810123791 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

1330 Budinger Ave
Suite 101
Saint Cloud, FL 34769-4123
Phone (407) 944-9041

Hospital & facility affiliations

  • Orlando Health Hospital, Orlando, FL, CCN 100006
  • Orlando Health St Cloud Hospital Hospital, Saint Cloud, FL, CCN 100302
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007
  • Orlando Health-Health Central Hospital Hospital, Ocoee, FL, CCN 100030

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting25

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
56045CTMDInternal Medicine Physician
ME145400FLMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gessler Clinic Professional Association Internal Medicine CurrentSince Aug 10, 2020 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Orlando Health Medical Group Inc Internal Medicine CurrentSince Dec 15, 2021 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Dec 15, 2021 Accepting new patients

Locations

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

1330 Budinger Ave
Ste 101
Saint Cloud, FL 34769
Phone (407) 891-2940

635 1st St N
Winter Haven, FL 33881
Phone (863) 294-0670

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: ashah341430@orlandohealth.medalliesdirect.net

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 6

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": "1367798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1720423601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 1ST ST N",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814191",
            "telephone_number": "863-294-0670",
            "fax_number": "863-298-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 BUDINGER AVE STE 101",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347694123",
            "telephone_number": "407-891-2940",
            "fax_number": "407-891-2941"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "267 Grant St",
            "address_2": "Dept. of Cardiology",
            "address_purpose": "LOCATION",
            "city": "Bridgeport",
            "state": "CT",
            "postal_code": "066102805",
            "country_code": "US",
            "telephone_number": "203-384-3442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "ABID",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-06",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "56045",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME145400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, FL

Sources for this page

Verify at the official NPI Registry.