Individual provider Active NPI

Smita Shah, MB,BS

  • Pulmonary Disease Physician
  • Fort Myers, FL
National Provider Identifier
1790847903
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME142528 Issued in FL
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

Updated by the provider on Feb 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
129892700MedicaidFL

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
I20260115002184 FL Practitioner - Pulmonary DiseasePractitioner - Sleep Medicine 6608894696 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Sleep Medicine
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lee Health System IncGroup PAC ID 9335672146, 1,381 clinicians

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

LicenseStateTypeSpecialty
ME142528FLMDPulmonary Disease Physician
MA45882NJMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lee Health System Inc CurrentSince Feb 1, 2026 Accepting new patients
Lee Health System Inc CurrentSince Feb 1, 2026 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.