Active NPI
Jayesh S Shah MD
- Nephrology Physician
- Tampa, FL
National Provider Identifier
1770697187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- JAYESH S SHAH MD
- Practice address
- 1426 W Busch Blvd
Ste 105
Tampa, FL 33612-7602 - Phone
- (813) 935-0222
- Fax
- (813) 877-6330
- NPI assigned
- Aug 19, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jayesh S Shah, MD
- Title
- Owner / Provider
- Phone
- (813) 935-0222
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | Primary |
Addresses
Primary practice location
1426 W Busch Blvd
Ste 105
Tampa, FL 33612-7602
Mailing address
1426 W Busch Blvd
Ste 105
Tampa, FL 33612-7602
Phone (813) 433-1002
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 390003723 | Other | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryLocations
1426 W Busch Blvd
Ste 105
Tampa, FL 33612
Phone (813) 873-7479
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nephrology Physician
- Tampa, FL
- NPI 1366556771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1592784000000",
"number": "1770697187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1426 W BUSCH BLVD",
"address_2": "STE 105",
"city": "TAMPA",
"state": "FL",
"postal_code": "336127602",
"telephone_number": "813-433-1002",
"fax_number": "813-877-6330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1426 W BUSCH BLVD",
"address_2": "STE 105",
"city": "TAMPA",
"state": "FL",
"postal_code": "336127602",
"telephone_number": "813-935-0222",
"fax_number": "813-877-6330"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAYESH S SHAH MD",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-19",
"last_updated": "2020-06-22",
"certification_date": "2020-06-22",
"status": "A",
"authorized_official_last_name": "SHAH",
"authorized_official_first_name": "JAYESH",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER / PROVIDER",
"authorized_official_telephone_number": "813-935-0222",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "390003723",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.