NPIMap

Individual provider Active NPI

Sejal Shah Desai, M.D.

  • Ophthalmology Physician
  • Tampa, FL
National Provider Identifier
1790919868
Registry record updated Oct 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME115371 Issued in FL
Practice address
13602 N 46TH St
Tampa, FL 33613-4931
Phone
(813) 972-4444
Fax
(813) 979-1600
NPI assigned
May 5, 2009
Last updated
Oct 4, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 276443 NY
Student in an Organized Health Care Education/Training Program 390200000X CA
Ophthalmology Physician 207W00000X ME115371 FL Primary

Addresses

Primary practice location

13602 N 46TH St
Tampa, FL 33613-4931

Mailing address

38135 Market SQ
Zephyrhills, FL 33542-7505
Phone (813) 972-4444

Other practice location 1

20 W 13th St
New York, NY 10011-7995
Phone (212) 604-9800

Other names 1

  • Sejal Shah Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130903000084 FL Practitioner - Ophthalmology 0143463620 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11925 Sheldon Rd
Tampa, FL 33626-3644
Phone (727) 581-8706

148 13TH St SW
Largo, FL 33770-3127
Phone (727) 581-8706

501 N Howard Ave
Suite 100
Tampa, FL 33606-1213
Phone (727) 581-8706

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME115371FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Eye Physicians of Pinellas, PA Ophthalmology CurrentSince Oct 1, 2021 Accepting new patients
Florida Medical Clinic, LLC CurrentSince Dec 15, 2018 Accepting new patients
The Eye Physicians of Pinellas, PA CurrentSince Oct 1, 2021 Accepting new patients
Florida Medical Clinic LLC CurrentSince Dec 15, 2018 Accepting new patients
University of Miami Past Accepting new patients
The Eye Physicians of Pinellas, PA Past Accepting new patients

Locations

3220 N McMullen Booth Rd
Clearwater, FL 33761
Phone (727) 723-8706

2100 Via Bella Blvd
Ste 101
Land O Lakes, FL 34639
Phone (813) 948-1498

148 13th St SW
Largo, FL 33770
Phone (727) 450-3030

148 13th St SW
Ste 200
Largo, FL 33770
Phone (727) 450-3030

11925 Sheldon Rd
Tampa, FL 33626
Phone (813) 792-0444

13602 N 46th St
Tampa, FL 33613
Phone (813) 284-2255

501 N Howard Ave
Ste 100
Tampa, FL 33606
Phone (813) 253-2727

38135 Market Square Dr
Zephyrhills, FL 33542
Phone (352) 567-0188

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1241481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538611200000",
    "number": "1790919868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38135 MARKET SQ",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335427505",
            "telephone_number": "813-972-4444",
            "fax_number": "813-979-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13602 N 46TH ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336134931",
            "telephone_number": "813-972-4444",
            "fax_number": "813-979-1600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 W 13th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100117995",
            "country_code": "US",
            "telephone_number": "212-604-9800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH DESAI",
        "first_name": "SEJAL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-05",
        "last_updated": "2018-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "276443",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME115371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SEJAL",
            "last_name": "SHAH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.