Active NPI
Manish N Shah, MD
- Internal Medicine Physician
- Wesley Chapel, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME81346
- Practice address
- 2038 Ashley Oaks Drive
Suite 102
Wesley Chapel, FL 33543-7013 - Phone
- (813) 929-3622
- Fax
- (813) 929-3620
- NPI assigned
- Jul 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME81346 | FL | Primary |
| Pediatrics Physician | 208000000X | ME81346 | FL |
Addresses
Primary practice location
2038 Ashley Oaks Drive
Suite 102
Wesley Chapel, FL 33543-7013
Mailing address
2038 Ashley Oaks Cir
Suite 102
Wesley Chapel, FL 33544-6413
Phone (813) 929-3622
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 264577700 | Medicaid | FL | |
| 17002 | Other | FL | BCBS |
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
- Internal Medicine
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2038 Ashley Oaks Cir
Suite 102
Wesley Chapel, FL 33544-6413
Phone (813) 929-3622
Hospital & facility affiliations
- Adventhealth Wesley Chapel
- Adventhealth Tampa
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME81346 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wesley Chapel Internal Medicine and Pediatrics, PA | Internal Medicine | Current | Accepting new patients |
Locations
2038 Ashley Oaks Cir
Ste 102
Wesley Chapel, FL 33544
Phone (813) 929-3622
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FDHBDA
- admin@wesleychapelmd.e-mdsdirect.com
Organizations & group practices 1
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
- Wesley Chapel, FL
- NPI 1447447313
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wesley Chapel, FL
- NPI 1073893020
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1053321919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190332800000",
"number": "1902826035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2038 ASHLEY OAKS CIR",
"address_2": "SUITE 102",
"city": "WESLEY CHAPEL",
"state": "FL",
"postal_code": "335446413",
"telephone_number": "813-929-3622",
"fax_number": "813-929-3620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2038 ASHLEY OAKS DRIVE",
"address_2": "SUITE 102",
"city": "WESLEY CHAPEL",
"state": "FL",
"postal_code": "335437013",
"telephone_number": "813-929-3622",
"fax_number": "813-929-3620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "MANISH",
"middle_name": "N",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2007-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME81346",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME81346",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "264577700",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "17002",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wesley Chapel, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2007; 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.