Individual provider Active NPI

Darshan Bhupen Shah, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Plant City, FL
National Provider Identifier
1841455607
Registry record updated Jan 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
ME108883 Issued in FL
Practice address
301 North Alexander Street
Advanced Care Hospitalists
Plant City, FL 33563
Phone
(813) 757-8571
Fax
(813) 792-4792
NPI assigned
Jul 22, 2008
Last updated
Jan 10, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X ME108883 FL Primary

Addresses

Primary practice location

301 North Alexander Street
Advanced Care Hospitalists
Plant City, FL 33563

Mailing address

301 North Alexander Street
Advanced Care Hospitalists
Plant City, FL 33563
Phone (813) 757-8571

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110729000573 FL Practitioner - Family PracticePractitioner - Internal MedicinePractitioner - Geriatric Medicine 5092983452 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Care Hospitalists PLGroup PAC ID 5092753632, 66 clinicians

Practice addresses (Care Compare)

4315 Highland Park Blvd
Suite D
Lakeland, FL 33813-1639
Phone (863) 816-5884

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Health Care Inc CurrentSince Jul 1, 2011 Accepting new patients
Advanced Care Hospitalists PL CurrentSince Feb 9, 2013 Accepting new patients

Locations

4315 Highland Park Blvd
Ste A
Lakeland, FL 33813
Phone (813) 651-1085

4315 Highland Park Blvd
Ste D
Lakeland, FL 33813
Phone (863) 816-5884

301 N Alexander St
Plant City, FL 33563
Phone (813) 757-1200

218 Pasadena Ave S
St Petersburg, FL 33707
Phone (727) 345-0160

Organizations & group practices 2

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 6

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": "1216684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357776000000",
    "number": "1841455607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 NORTH ALEXANDER STREET",
            "address_2": "ADVANCED CARE HOSPITALISTS",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "33563",
            "telephone_number": "813-757-8571",
            "fax_number": "813-792-4792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 NORTH ALEXANDER STREET",
            "address_2": "ADVANCED CARE HOSPITALISTS",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "33563",
            "telephone_number": "813-757-8571",
            "fax_number": "813-792-4792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "DARSHAN",
        "middle_name": "BHUPEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-22",
        "last_updated": "2013-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME108883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plant City, FL

Sources for this page

Verify at the official NPI Registry.