Individual provider Active NPI

Manish N Shah, MD

  • Internal Medicine Physician
  • Wesley Chapel, FL
National Provider Identifier
1902826035
Registry record updated Sep 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME81346 Issued in FL
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

Updated by the provider on Sep 21, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
264577700MedicaidFL
17002OtherFLBCBS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060201000420 FL Practitioner - Internal Medicine 5890709729 Reassigns benefits to 1 organization

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
Wesley Chapel Internal Medicine and Pediatrics PAGroup PAC ID 8628082559, 3 clinicians

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 Hospital, Wesley Chapel, FL, CCN 100319
  • Adventhealth Tampa Hospital, Tampa, FL, CCN 100173

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME81346FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wesley Chapel Internal Medicine and Pediatrics, PA Internal Medicine CurrentSince Aug 12, 2005 Accepting new patients

Locations

2038 Ashley Oaks Cir
Ste 102
Wesley Chapel, FL 33544
Phone (813) 929-3622

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FDHBDA
  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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

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

Verify at the official NPI Registry.