Active NPI
Jainam Ruchir Shah
- Anesthesiologist Assistant
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- License
- AA1003
- Practice address
- 1 Shircliff Way
Jacksonville, FL 32204-4748 - Phone
- (904) 308-7300
- NPI assigned
- Jul 19, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | AA1003 | FL | Primary |
Addresses
Primary practice location
1 Shircliff Way
Jacksonville, FL 32204-4748
Mailing address
1 Shircliff Way
Jacksonville, FL 32204-4748
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Shircliff Way
Jacksonville, FL 32204-4748
Phone (954) 939-5000
6401 N Federal Hwy
Fort Lauderdale, FL 33308-1427
Phone (954) 939-5000
Hospital & facility affiliations
- Ascension St Vincent'S Riverside
- Ascension St Vincent'S Clay County
- Ascension St Vincent'S Southside
- Broward Health Imperial Point
- Ascension St Vincent'S St Johns County
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Associate of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AA1003 | FL | MD | Anesthesiologist Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sheridan Healthcorp Inc | Single Specialty | Current | Accepting new patients |
| Sheridan Healthcorp Inc | Current | Accepting new patients | |
| North Florida Anesthesia Consultants, Inc. | Current | Accepting new patients | |
| North Florida Anesthesia Consultants Inc | Single Specialty | Current | Accepting new patients |
| Sheridan Healthcorp, Inc. | Current | Accepting new patients | |
| North Florida Anesthesia Consultants Inc | Current | Accepting new patients |
Locations
1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000
6401 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 776-8500
1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414
4201 Belfort Rd
Jacksonville, FL 32216
Phone (904) 268-5561
11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544
401 NW 42nd Ave
Plantation, FL 33317
Phone (954) 513-6434
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 and National Provider Directory roles.
-
- Anesthesiology Physician
- Jacksonville, FL
- NPI 1346236866
Single Specialty
-
- Anesthesiology Physician
- Jacksonville, FL
- NPI 1255009296
-
- Anesthesiology Physician
- St Augustine, FL
- NPI 1114892361
-
- Anesthesiology Physician
- Pembroke Pines, FL
- NPI 1972279958
-
- Anesthesiology Physician
- North Miami Beach, FL
- NPI 1578429460
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Lauderdale, FL
- NPI 1265460232
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1396926747
-
- General Acute Care Hospital
- St. Johns, FL
- NPI 1861078651
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1134117575
-
- General Acute Care Hospital
- Middleburg, FL
- NPI 1457690471
-
- Clinical Medical Laboratory
- Jacksonville, FL
- NPI 1669556072
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760486400000",
"number": "1811735103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 SHIRCLIFF WAY",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322044748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 SHIRCLIFF WAY",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322044748",
"telephone_number": "904-308-7300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "JAINAM",
"middle_name": "RUCHIR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-07-19",
"last_updated": "2025-10-15",
"certification_date": "2025-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiologist Assistant",
"state": "FL",
"license": "AA1003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.