Sean Shahla, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME0071346 Issued in FL

Practice address

3599 University Blvd S Ste 404
Jacksonville, FL 32216-4232

Phone

(904) 396-0077

Fax

(904) 396-0733

NPI assigned

Oct 11, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shahla Medical Associates PAGroup PAC ID 3870766819, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Medical Center Beaches Hospital, Jacksonville Beach, FL, CCN 100117
• Baptist Health Medical Center - Jacksonville Hospital, Jacksonville, FL, CCN 100088
• HCA Florida Memorial Hospital Hospital, Jacksonville, FL, CCN 100179
• Cypress Village Nursing home, Jacksonville, FL, CCN 105745

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/Xn4xUXZWRzcyVaayUfDGK1rXLAig3w6X/

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.

• Shahla Medical Associates PA

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1235317397
  Medicare reassignment Care Compare group NPD Authorized official
• Inpatient Consultants of Florida, Inc

  • Internal Medicine Physician
  • Orange Park, FL
  • NPI 1396795597
  Medicare reassignment NPD
• Inpatient Consultants of Florida Inc

  • Hospitalist Physician
  • Tampa, FL
  • NPI 1457511164

  Internal Medicine

  NPD
• CCRC Opco - Cypress Village, LLC

  • Skilled Nursing Facility
  • Jacksonville, FL
  • NPI 1790199057
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Medical Center of the Beaches, Inc

  • General Acute Care Hospital
  • Jacksonville Beach, FL
  • NPI 1821155912
  Care Compare affiliation
• CCRC Opco - Cypress Village, LLC

  • Skilled Nursing Facility
  • Jacksonville, FL
  • NPI 1790199057

  Nursing home

  Care Compare affiliation
• Memorial Healthcare Group Inc

  • General Acute Care Hospital
  • Jacksonville, FL
  • NPI 1447206438
  Care Compare affiliation
• Southern Baptist Hospital of Florida Inc

  • General Acute Care Hospital
  • Jacksonville, FL
  • NPI 1578620449
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1801884119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3599 UNIVERSITY BLVD S STE 404",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164232",
            "telephone_number": "904-396-0077",
            "fax_number": "904-396-0733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3599 UNIVERSITY BLVD S STE 404",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164232",
            "telephone_number": "904-396-0077",
            "fax_number": "904-396-0733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHLA",
        "first_name": "SEAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0071346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "252412100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tanay Eknath Shah
• Edward John Shahady, MD
• Sagar Sanjay Shahani, DO
• Mohammad Shahid
• Shahla Medical Associates PA
• Shahmed PLLC
• Marwan Elahi Shaikh, MD
• Kamal Abdo Shair, MD
• Derek Joseph Shairs, RMHCI
• Andrew Hosam Wasily Shaker, MBBCH

• Internal Medicine Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.

Verify at the official NPI Registry.