Active NPI
Tulsi G. Shah, MD
- Pulmonary Disease Physician
- Clermont, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- ME161201
- Practice address
- 1920 Don Wickham Dr Ste 335
Clermont, FL 34711-1978 - Phone
- (321) 841-7856
- Fax
- (321) 843-6432
- NPI assigned
- May 30, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ME161201 | FL | Primary |
| Internal Medicine Physician | 207R00000X | 64940 | CO |
Addresses
Primary practice location
1920 Don Wickham Dr Ste 335
Clermont, FL 34711-1978
Mailing address
1920 Don Wickham Dr Ste 335
Clermont, FL 34711-1978
Phone (321) 841-7856
Other practice location 1
1400 Jackson St
Denver, CO 80206-2761
Phone (303) 388-4461
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 120191400 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | NJHealth@njc.allscriptsdirect.net |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1920 Don Wickham Dr
Suite 335
Clermont, FL 34711-1978
Phone (352) 536-8644
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.91 of 100
- Quality
- 61.18
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.86
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64940 | CO | MD | Internal Medicine Physician |
| ME161201 | FL | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Internal Medicine | Current | Accepting new patients |
Locations
1920 Don Wickham Dr
Ste 125
Clermont, FL 34711
Phone (407) 841-1290
1920 Don Wickham Dr
Ste 335
Clermont, FL 34711
Phone (352) 389-0605
32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
-
- Durable Medical Equipment & Medical Supplies
- Winter Park, FL
- NPI 1265019541
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ocoee, FL
- NPI 1033475959
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
-
- General Acute Care Hospital
- Clermont, FL
- NPI 1336221019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700179200000",
"number": "1851829246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1920 DON WICKHAM DR STE 335",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347111978",
"telephone_number": "321-841-7856",
"fax_number": "321-843-6432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1920 DON WICKHAM DR STE 335",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347111978",
"telephone_number": "321-841-7856",
"fax_number": "321-843-6432"
}
],
"practiceLocations": [
{
"address_1": "1400 Jackson St",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802062761",
"country_code": "US",
"telephone_number": "303-388-4461",
"fax_number": "303-270-2206",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAH",
"first_name": "TULSI",
"middle_name": "G.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-30",
"last_updated": "2023-11-17",
"certification_date": "2023-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "FL",
"license": "ME161201",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CO",
"license": "64940",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "120191400",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "NJHealth@njc.allscriptsdirect.net",
"affiliation": "N",
"address_1": "1400 Jackson St",
"city": "Denver",
"state": "CO",
"country_code": "US",
"postal_code": "802062761",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Clermont, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; 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.