Organization Active NPI

Gira S. Shah, MD, PA

  • Internal Medicine Physician
  • Inverness, FL
National Provider Identifier
1831372606
Registry record updated Jan 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME71583 Issued in FL
Legal business name
GIRA S. SHAH, MD, PA
Practice address
203 S. Seminole Ave
Inverness, FL 34452
Phone
(352) 726-7800
Fax
(352) 726-8300
NPI assigned
Dec 14, 2007
Last updated
Jan 15, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2013

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

Authorized official

Name
Gira S Shah, MDNPI 1053402719
Title
President
Phone
(352) 726-7800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X ME71583 FL Primary

Addresses

Primary practice location

203 S. Seminole Ave
Inverness, FL 34452

Mailing address

203 S. Seminole Ave.
Inverness, FL 34452
Phone (352) 726-7800

Other identifiers 4

IdentifierTypeStateIssuer
P00061384OtherFLRAIL ROAD MEDICARE
P00061384OtherRAILROAD MEDICARE
32187OtherFLBLUE CROSS BLUE SHIELD
268959600MedicaidFL

National Provider Directory

National Provider Directory

Locations

203 S Seminole Ave
Inverness, FL 34452
Phone (352) 726-6018

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358208000000",
    "number": "1831372606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 S. SEMINOLE AVE.",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "34452",
            "telephone_number": "352-726-7800",
            "fax_number": "352-726-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 S. SEMINOLE AVE",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "34452",
            "telephone_number": "352-726-7800",
            "fax_number": "352-726-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIRA S. SHAH, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-14",
        "last_updated": "2013-01-15",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "GIRA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-726-7800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME71583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00061384",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00061384",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "32187",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268959600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Inverness, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.