Nishan Anilkumar Shah, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

123001 Issued in FL

Practice address

2810 Manatee Ave E
Bradenton, FL 34208-1828

Phone

(941) 226-0206

Fax

(941) 900-1043

NPI assigned

Apr 7, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Emergency Medicine

Education

University of South Florida College of Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Two Rivers Urgent Care and WellnessGroup PAC ID 7113331679, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida Blake Hospital Hospital, Bradenton, FL, CCN 100213

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nishan.shah.1@23341.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/23341/brand/1/csg/1/fhir/r4

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.

• Two Rivers Urgent Care and Wellness

  • Urgent Care Clinic/Center
  • Bradenton, FL
  • NPI 1639765399
  Medicare reassignment Care Compare group NPD
• Emergency Medicine Services of FL, LLC

  • Emergency Medicine Physician
  • Aventura, FL
  • NPI 1043917180
  Medicare reassignment NPD
• Paragon Emergency Services LLC

  • Emergency Medicine Physician
  • Winter Haven, FL
  • NPI 1912101650
  Medicare reassignment NPD
• Two Rivers Medical

  • General Practice Physician
  • Bradenton, FL
  • NPI 1639062946
  NPD

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

• HCA Health Services of Florida, Inc.

  • General Acute Care Hospital
  • Bradenton, FL
  • NPI 1114964244
  Care Compare affiliation

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

{
    "created_epoch": "1270598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1891010476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 VINETREE DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335102091",
            "telephone_number": "813-480-3563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 MANATEE AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081828",
            "telephone_number": "941-226-0206",
            "fax_number": "941-900-1043"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2020 59th St W",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342094604",
            "country_code": "US",
            "telephone_number": "941-792-6611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "NISHAN",
        "middle_name": "ANILKUMAR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-07",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "123001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul L Sganga
• Jessica Shacklett, APRN
• Gail Shafran, FNP
• M. Mohsin Shah, M.D.
• Neel Shah
• Raj Shah, DO
• Lucas J Shallenberger
• Renat Shamiev, PHARMD
• Amirra Gisselle Shamma
• Sean Dien Shanahan, DPM

• Emergency Medicine Physician in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Emergency Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; 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.

Verify at the official NPI Registry.