Sanjiv Shah MD LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

SANJIV SHAH MD LLC

Practice address

5915 W Gulf to Lake Hwy
Crystal River, FL 34429-7565

Phone

(352) 565-7006

Fax

(786) 220-8715

NPI assigned

Apr 1, 2025

Organization subpart

No

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

Authorized official

Name

Sanjiv Ishverlal Shah, MDNPI 1245322106

Title

Owner/MD/President

Phone

(352) 565-7006

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sanjiv Ishverlal Shah, MD

  • Nephrology Physician
  • Crystal River, FL
  • NPI 1245322106
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1743465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743465600000",
    "number": "1881498921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5915 W GULF TO LAKE HWY",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344297565",
            "telephone_number": "352-565-7006",
            "fax_number": "786-220-8715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5915 W GULF TO LAKE HWY",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344297565",
            "telephone_number": "352-565-7006",
            "fax_number": "786-220-8715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANJIV SHAH MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-01",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "SANJIV",
        "authorized_official_middle_name": "ISHVERLAL",
        "authorized_official_title_or_position": "OWNER/MD/PRESIDENT",
        "authorized_official_telephone_number": "352-565-7006",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sampson Chiropractic and Sports Inj
• Eric A Sampson, D.C.
• Sandy Lynn Samuelman
• Jericka Sanders, PTA
• Sandra L.Brown M.D. PA
• Srinivas Sanka, DO
• Daniel Larry Sanow, RPH
• Christal Rose Satchell, LMHC
• Gabriel Satchell
• Vicki Patton Sattler, LCSW

• Nephrology Physician in Crystal River, FL
• Providers in Crystal River, FL by specialty
• Nephrology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.