NPIMap

Individual provider Active NPI

M. Mohsin Shah, M.D.

  • Neurological Surgery Physician
  • Bradenton, FL
National Provider Identifier
1811970726
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
A066315 Issued in CA
Practice address
200 3Rd Ave W Ste 200
Bradenton, FL 34205-8633
Phone
(941) 794-3118
Fax
(941) 782-2017
NPI assigned
Nov 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Neurology Physician 2084V0102X 103463 MN
Neurological Surgery Physician 207T00000X 43336 KY
Neurological Surgery Physician 207T00000X MD60010649 WA
Vascular Neurology Physician 2084V0102X A066315 CA
Neurological Surgery Physician 207T00000X A066315 CA Primary
Neurological Surgery Physician 207T00000X ME110039 FL

Addresses

Primary practice location

200 3Rd Ave W Ste 200
Bradenton, FL 34205-8633

Mailing address

200 3Rd Ave W Ste 200
Bradenton, FL 34205-8633
Phone (941) 794-3118

Other identifiers 3

IdentifierTypeStateIssuer
00A663150MedicaidCA
277926MedicaidOR
00A663150OtherCABLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, FL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20111227000770 CA Practitioner - NeurosurgeryPractitioner - NeurologyPractitioner - Critical Care (Intensivists)Practitioner - Interventional Radiology 1557317708 Reassigns benefits to 5 organizations
I20121001000087 FL Practitioner - Neurosurgery 1557317708 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurosurgeryAlso: Critical Care (Intensivists), Interventional Radiology, Neurology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cal Med Physicians and Surgeons IncGroup PAC ID 4385556687, 34 clinicians

Practice addresses (Care Compare)

Tustin, CA 92782
Phone (949) 870-9784

2200 Collier CT
Tustin, CA 92782-1525

400 N Pepper Ave
Colton, CA 92324-1801
Phone (909) 580-3353

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion16
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A066315CAMDNeurological Surgery Physician
ME110039FLMDNeurological Surgery Physician
43336KYMDNeurological Surgery Physician
MD60010649WAMDNeurological Surgery Physician
103463MNMDVascular Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Monterey Behavioral Health CurrentSince Jul 4, 2018 Accepting new patients
County of Monterey CurrentSince Jul 4, 2018 Accepting new patients
Cal Med Physicians and Surgeons, Inc. Neurological Surgery CurrentSince Jan 12, 2026 Accepting new patients
Neurospinal Associates PA Neurological Surgery CurrentSince Jan 1, 2026 Accepting new patients
Mian Mohsin Shah AMC Neurological Surgery CurrentSince Nov 8, 2011 Accepting new patients
Select Specialty Surgery CurrentSince Aug 11, 2022 Accepting new patients
California Neuroscience Specialists, Apc Neurological Surgery PastSince Mar 30, 2025 Accepting new patients
Spencer Vascular Diagnostic Services Inc Past Accepting new patients
Orange County Global Medical Center, Inc Past Accepting new patients
West Florida Trauma Network, LLC PastSince Jan 20, 2019 Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients

Locations

8043 2nd St
Ste 105
Downey, CA 90241
Phone (562) 862-1134

1441 Constitution Blvd
Salinas, CA 93906
Phone (831) 261-8090

999 N Tustin Ave
Ste 109
Santa Ana, CA 92705
Phone (714) 664-0045

200 3rd Ave W
Ste 200
Bradenton, FL 34205
Phone (941) 794-3118

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 3

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": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1811970726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 3RD AVE W STE 200",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342058633",
            "telephone_number": "941-794-3118",
            "fax_number": "941-782-2017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 3RD AVE W STE 200",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342058633",
            "telephone_number": "941-794-3118",
            "fax_number": "941-782-2017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "M.",
        "middle_name": "MOHSIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-23",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "MN",
            "license": "103463",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "KY",
            "license": "43336",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "WA",
            "license": "MD60010649",
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "CA",
            "license": "A066315",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "A066315",
            "primary": true
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME110039",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A663150",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277926",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00A663150",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.