Active NPI
Smita Shah, MB,BS
- Pulmonary Disease Physician
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- ME142528
- Practice address
- 13340 Metro Pkwy Ste 400
Fort Myers, FL 33966-4818 - Phone
- (239) 343-1105
- Fax
- (239) 343-4259
- NPI assigned
- Dec 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | MA45882 | NJ | |
| Pulmonary Disease Physician | 207RP1001X | ME142528 | FL | Primary |
Addresses
Primary practice location
13340 Metro Pkwy Ste 400
Fort Myers, FL 33966-4818
Mailing address
PO Box 2147
Fort Myers, FL 33902-2147
Phone (239) 343-1105
Other practice location 1
17 Wanaque Ave
Pompton Lakes, NJ 07442
Phone (973) 617-1750
Other practice location 2
741 Northfield Ave Ste 201
West Orange, NJ 07052-1104
Phone (973) 379-5181
Other practice location 3
2 N Village Blvd
Sparta, NJ 07871-3592
Phone (973) 579-3444
Other practice location 4
1 Springfield Ave Fl 3
Summit, NJ 07901-4055
Phone (908) 937-0555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 129892700 | Medicaid | FL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
13340 Metro Pkwy
Suite 400
Fort Myers, FL 33966-4818
Phone (239) 343-1105
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor of Science, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME142528 | FL | MD | Pulmonary Disease Physician |
| MA45882 | NJ | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lee Health System Inc | Current | Accepting new patients | |
| Lee Health System Inc | Current | Accepting new patients | |
| Pediatric Specialty Group at the Ambulatory Care Center | Past | Accepting new patients |
Locations
1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900
13340 Metro Pkwy
Ste 400
Fort Myers, FL 33966
Phone (239) 343-1105
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Fort Myers, FL
- NPI 1942058557
-
dba Lee Health Specialty Pharmacy
- Community/Retail Pharmacy
- Bonita Springs, FL
- NPI 1699510925
-
- Pediatric Pulmonology Physician
- Livingston, NJ
- NPI 1679521504
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Gulf Coast Medical Center
- General Acute Care Hospital
- Fort Myers, FL
- NPI 1366281750
-
dba Lee Memorial Hospital
- General Acute Care Hospital
- Fort Myers, FL
- NPI 1427806025
-
dba Cape Coral Hospital
- General Acute Care Hospital
- Cape Coral, FL
- NPI 1780429076
-
dba Morristown Medical Center
- General Acute Care Hospital
- Morristown, NJ
- NPI 1053384776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770249600000",
"number": "1790847903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2147",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339022147",
"telephone_number": "239-343-1105",
"fax_number": "239-343-4259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13340 METRO PKWY STE 400",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339664818",
"telephone_number": "239-343-1105",
"fax_number": "239-343-4259"
}
],
"practiceLocations": [
{
"address_1": "17 Wanaque Ave",
"address_purpose": "LOCATION",
"city": "Pompton Lakes",
"state": "NJ",
"postal_code": "07442",
"country_code": "US",
"telephone_number": "973-617-1750",
"fax_number": "973-617-1751",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "741 Northfield Ave Ste 201",
"address_purpose": "LOCATION",
"city": "West Orange",
"state": "NJ",
"postal_code": "070521104",
"country_code": "US",
"telephone_number": "973-379-5181",
"fax_number": "973-379-6181",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2 N Village Blvd",
"address_purpose": "LOCATION",
"city": "Sparta",
"state": "NJ",
"postal_code": "078713592",
"country_code": "US",
"telephone_number": "973-579-3444",
"fax_number": "973-522-2121",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Springfield Ave Fl 3",
"address_purpose": "LOCATION",
"city": "Summit",
"state": "NJ",
"postal_code": "079014055",
"country_code": "US",
"telephone_number": "908-937-0555",
"fax_number": "908-934-0556",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAH",
"first_name": "SMITA",
"name_prefix": "Dr.",
"credential": "MB,BS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-14",
"last_updated": "2026-02-05",
"certification_date": "2026-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NJ",
"license": "MA45882",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "FL",
"license": "ME142528",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "129892700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.