NPIMap

Individual provider Active NPI

Chintan B Shah, MD

  • Family Medicine Physician
  • Fort Pierce, FL
National Provider Identifier
1871782268
Registry record updated Aug 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME107058 Issued in FL
Practice address
2215 Nebraska Ave
Ste 2B
Fort Pierce, FL 34950-4864
Phone
(772) 464-4050
Fax
(772) 464-4421
NPI assigned
Oct 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME107058 FL Primary

Addresses

Primary practice location

2215 Nebraska Ave
Ste 2B
Fort Pierce, FL 34950-4864

Mailing address

2215 Nebraska Ave
Ste 2B
Fort Pierce, FL 34950-4864
Phone (772) 302-3767

Other names 1

  • Dr. Chintan B Shah Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100929001459 FL Practitioner - Family PracticePractitioner - Internal Medicine 8921124736 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1700 S 23Rd St
Fort Pierce, FL 34950-4803
Phone (772) 461-4000

2215 Nebraska Ave
Suite 2 B
Fort Pierce, FL 34950-4866

Hospital & facility affiliations

  • Trilogy Home Healthcare Home health agency, Port Saint Lucie, FL, CCN 109270
  • Centerwell Home Health Home health agency, Port Saint Lucie, FL, CCN 107586
  • Vitalcaring Group Home health agency, West Palm Beach, FL, CCN 108331
  • Aveanna Home Health Home health agency, Stuart, FL, CCN 683116
  • Visiting Nurse Association of Florida Inc Home health agency, Stuart, FL, CCN 107177
  • Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545
  • Treasure Coast Hospice of St Lucie Hospice, Fort Pierce, FL, CCN 101517
  • HCA Florida Lawnwood Hospital Hospital, Fort Pierce, FL, CCN 100246
  • Cleveland Clinic Martin North Hospital Hospital, Stuart, FL, CCN 100044
  • St Lucie Medical Center Hospital, Port Saint Lucie, FL, CCN 100260
  • Cleveland Clinic Indian River Hospital Hospital, Vero Beach, FL, CCN 100105
  • HCA Florida Raulerson Hospital Hospital, Okeechobee, FL, CCN 100252
  • Palm Garden of Port Saint Lucie Nursing home, Port Saint Lucie, FL, CCN 105600
  • Sandgate Gardens Rehab and Nursing Center Nursing home, Fort Pierce, FL, CCN 105382
  • Vivo Healthcare Fort Pierce Nursing home, Fort Pierce, FL, CCN 105804
  • Aviata at Saint Lucie Nursing home, Fort Pierce, FL, CCN 105257
  • Port St Lucie Rehabilitation and Healthcare Nursing home, Port Saint Lucie, FL, CCN 105410

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME107058FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MD Hospital Care Inc Current Accepting new patients
MD Primary Care Inc Family Medicine CurrentSince Aug 23, 2019 Accepting new patients
MD Hospital Care Inc CurrentSince Aug 27, 2019 Accepting new patients
Amir a Malik MD PA Past Accepting new patients
Amir a Malik MD PA Past Accepting new patients

Locations

1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000

2215 Nebraska Ave
Ste 2-B
Fort Pierce, FL 34950
Phone (772) 302-3767

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BDGDCD

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Palm Garden of Port Saint LuciePort St Lucie, FL, CCN 105600 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Sep 13, 2024
Mar 6, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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.

Hospital & facility affiliations 20

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1871782268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 NEBRASKA AVE",
            "address_2": "STE 2B",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504864",
            "telephone_number": "772-302-3767",
            "fax_number": "888-436-7197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 NEBRASKA AVE",
            "address_2": "STE 2B",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504864",
            "telephone_number": "772-464-4050",
            "fax_number": "772-464-4421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "CHINTAN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-22",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME107058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHINTAN",
            "last_name": "SHAH",
            "middle_name": "B",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Fort Pierce, FL

Sources for this page

Verify at the official NPI Registry.