Active NPI
Samir Rameshchandra Shah, M.D.
- Colon & Rectal Surgery Physician
- Miami Lakes, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- ME140999
- Practice address
- 5803 NW 151St St Ste 105
Miami Lakes, FL 33014-2473 - Phone
- (305) 596-3080
- Fax
- (305) 596-3073
- NPI assigned
- Jul 12, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 38018 | SC | |
| Colon & Rectal Surgery Physician | 208C00000X | 38018 | SC | |
| General Practice Physician | 208D00000X | ME140999 | FL | |
| Colon & Rectal Surgery Physician | 208C00000X | ME140999 | FL | Primary |
Addresses
Primary practice location
5803 NW 151St St Ste 105
Miami Lakes, FL 33014-2473
Mailing address
9500 S Dadeland Blvd Ste 200
Miami, FL 33156-2866
Phone (305) 468-4185
Other practice location 1
2728 Sunset Blvd
Suite 104
West Columbia, SC 29169
Phone (803) 791-2722
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
- Colorectal Surgery (Proctology)
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7765 Sw87Th Ave
Suite 212
Miami, FL 33173
Phone (305) 596-3080
Hospital & facility affiliations
- Baptist Hospital of Miami
- South Miami Hospital
- West Kendall Baptist Hospital
- HCA Florida Mercy Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.04 of 100
- Quality
- 65.4
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 76.41
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 11 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38018 | SC | MD | Pharmacist |
| ME140999 | FL | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clear Minds Wellness Institute LLC | Current | Accepting new patients | |
| Antares Mental Health Group LLC | General Practice | Current | Accepting new patients |
| Gastro Health, LLC | Current | Accepting new patients | |
| Gastro Health LLC | Colon & Rectal Surgery | Current | Accepting new patients |
| Antares Mental Health Group LLC | Past | Accepting new patients | |
| Pines Medical Clinic | Past | Accepting new patients | |
| Galloway Anesthesia Associates LLC | Past | Accepting new patients |
Locations
4675 Linton Blvd
Ste 202
Delray Beach, FL 33445
Phone (561) 495-5700
7769 NW 48th St
Ste 330
Doral, FL 33166
Phone (786) 332-4705
7100 W 20th Ave
Ste 301
Hialeah, FL 33016
Phone (305) 224-1864
7765 SW 87th Ave
Ste 212
Miami, FL 33173
Phone (305) 279-7546
9500 S Dadeland Blvd
Ste 200
Miami, FL 33156
Phone (786) 530-3820
3661 S Miami Ave
Ste 907
Miami, FL 33133
Phone (305) 856-7333
5803 NW 151st St
Ste 105
Miami Lakes, FL 33014
Phone (305) 596-3080
7243 Della Dr
Orlando, FL 32819
Phone (407) 381-7366
Organizations & group practices 7
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.
-
- Community/Behavioral Health Agency
- Doral, FL
- NPI 1457932766
General Practice
-
- Community/Behavioral Health Agency
- Hialeah, FL
- NPI 1174330070
-
- Gastroenterology Physician
- Pembroke Pines, FL
- NPI 1457026932
-
- Case Management Agency
- Doral, FL
- NPI 1104571819
-
- Anesthesiology Physician
- Miami, FL
- NPI 1689989139
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Hospital
- General Acute Care Hospital
- Miami, FL
- NPI 1528042884
-
dba Plantation General Hospital
- General Acute Care Hospital
- Plantation, FL
- NPI 1144274317
-
dba HCA Florida Mercy Hospital
- General Acute Care Hospital
- Miami, FL
- NPI 1023387479
-
- General Acute Care Hospital
- South Miami, FL
- NPI 1982688230
-
- General Acute Care Hospital
- Miami, FL
- NPI 1417279936
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675209600000",
"number": "1881893741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9500 S DADELAND BLVD STE 200",
"city": "MIAMI",
"state": "FL",
"postal_code": "331562866",
"telephone_number": "305-468-4185",
"fax_number": "305-596-3073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5803 NW 151ST ST STE 105",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330142473",
"telephone_number": "305-596-3080",
"fax_number": "305-596-3073"
}
],
"practiceLocations": [
{
"address_1": "2728 Sunset Blvd",
"address_2": "Suite 104",
"address_purpose": "LOCATION",
"city": "West Columbia",
"state": "SC",
"postal_code": "29169",
"country_code": "US",
"telephone_number": "803-791-2722",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAH",
"first_name": "SAMIR",
"middle_name": "RAMESHCHANDRA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-12",
"last_updated": "2023-02-01",
"certification_date": "2023-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "SC",
"license": "38018",
"primary": false
},
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "SC",
"license": "38018",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ME140999",
"primary": false
},
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "FL",
"license": "ME140999",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.