Individual provider Active NPI

Pragnesh Rajnikant Shah, M.D.

  • Internal Medicine Physician
  • Temple Terrace, FL
National Provider Identifier
1780786236
Registry record updated May 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M7617 Issued in TX
Practice address
13067 N Telecom Pkwy
Temple Terrace, FL 33637-0926
Phone
(925) 819-8779
Fax
(713) 960-8008
NPI assigned
Sep 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD429861 PA
Internal Medicine Physician 207R00000X M7617 TX Primary

Addresses

Primary practice location

13067 N Telecom Pkwy
Temple Terrace, FL 33637-0926

Mailing address

PO Box 18528
Sugar Land, TX 77479-8528
Phone (832) 628-4774

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA, FL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20080128000382 TX Practitioner - Internal Medicine 4486653599 Reassigns benefits to 2 organizations
I20170713003741 CA Practitioner - Internal Medicine 4486653599 Reassigns benefits to 2 organizations
I20200702000882 FL Practitioner - Internal MedicinePractitioner - Hospitalist 4486653599 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allied Healthcare LLCGroup PAC ID 1052776366, 29 clinicians

Practice addresses (Care Compare)

14690 Spring Hill Dr
Suite 101
Spring Hill, FL 34609-8102
Phone (352) 799-0046

Hospital & facility affiliations

  • Tampa General Hospital Brooksville Hospital, Brooksville, FL, CCN 100071
  • Tampa General Hospital Hospital, Tampa, FL, CCN 100128

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
146665CAMDMarriage & Family Therapist
MD429861PAMDInternal Medicine Physician
M7617TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa General Hospital Current Accepting new patients
Allied Healthcare LLC Internal Medicine CurrentSince Jun 14, 2023 Accepting new patients
Florida Hospital Physician Group Inc Internal Medicine CurrentSince Aug 17, 2020 Accepting new patients
Ipc Healthcare Services of Texas, PLLC Internal Medicine CurrentSince Apr 1, 2017 Accepting new patients
Inpatient Specialists Group Internal Medicine CurrentSince May 7, 2022 Accepting new patients
Cogent Healthcare of Pensacola LLC Internal Medicine CurrentSince Jul 1, 2021 Accepting new patients
Cogent Healthcare of Pensacola LLC Internal Medicine Current Accepting new patients
Inpatient Specialists Group Internal Medicine CurrentSince May 7, 2022 Accepting new patients
John Muir Trauma Physicians Billing Service Current Accepting new patients
John Muir Physician Network CurrentSince Jul 13, 2017 Accepting new patients
Central Florida Inpatient Medicine LLC Internal Medicine CurrentSince May 21, 2021 Accepting new patients
John Muir Trauma Physicians Billing Service CurrentSince Jul 13, 2017 Accepting new patients
Cogent Healthcare of Pensacola LLC Internal Medicine CurrentSince Jul 1, 2021 Accepting new patients
24 Hour Physicians, Inc CurrentSince Feb 8, 2014 Accepting new patients
Memorial Hermann Neighborhood Health Centers, PLLC Internal Medicine Past Accepting new patients

Locations (25 of 26)

2400 Balfour Rd
Ste 120
Brentwood, CA 94513
Phone (925) 308-8112

380 Civic Dr
Ste 100
Pleasant Hill, CA 94523
Phone (925) 284-3840

1450 Treat Blvd
Ste 200
Walnut Creek, CA 94597
Phone (925) 296-7340

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545

17240 Cortez Blvd
Brooksville, FL 34601
Phone (352) 544-6060

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

525 Technology Park
Ste 109
Lake Mary, FL 32746
Phone 4076472346 ext. 111

1500 Lee Blvd
Lehigh Acres, FL 33936
Phone (239) 368-4410

14690 Spring Hill Dr
Ste 101
Spring Hill, FL 34609

203 N Marion St
Tampa, FL 33602
Phone (813) 474-9804

203 N Marion St
Fl 2
Tampa, FL 33602
Phone (813) 428-6904

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

13067 N Telecom Pkwy
Temple Terrace, FL 33637
Phone (813) 333-9108

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

1800 W 26th St
Ste 103
Houston, TX 77008
Phone (713) 957-8400

18500 Katy Fwy
Houston, TX 77094
Phone (281) 206-9020

620 S Main St
Keller, TX 76248
Phone (214) 294-6100

511 W FM 544
Ste 100
Murphy, TX 75094
Phone (214) 294-6150

11800 Astoria Blvd
Pearland, TX 77089
Phone (281) 929-6100

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

1604 West Ave
San Antonio, TX 78201
Phone (210) 572-8885

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

16655 Southwest Fwy
Sugar Land, TX 77479
Phone (281) 274-7117

17500 W Grand Pkwy S
Sugar Land, TX 77479
Phone (281) 725-5000

Interoperability endpoints

  • Direct secure messaging: pshah320438@direct.tgh.org
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 3

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": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589155200000",
    "number": "1780786236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18528",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774798528",
            "telephone_number": "832-628-4774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13067 N TELECOM PKWY",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336370926",
            "telephone_number": "925-819-8779",
            "fax_number": "713-960-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "PRAGNESH",
        "middle_name": "RAJNIKANT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD429861",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M7617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple Terrace, FL

Sources for this page

Verify at the official NPI Registry.