Individual provider Active NPI

Neenad Mahendra Shah, MD

  • Radiation Oncology Physician
  • Fleming Island, FL
National Provider Identifier
1922000751
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
ME90197 Issued in FL
Practice address
2310 Village Square Pkwy Ste 106C
Fleming Island, FL 32003-6409
Phone
(904) 202-7300
Fax
(904) 202-2754
NPI assigned
Aug 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X ME90197 FL Primary

Addresses

Primary practice location

2310 Village Square Pkwy Ste 106C
Fleming Island, FL 32003-6409

Mailing address

PO Box 746654
Atlanta, GA 30374-6654
Phone (904) 202-2092

Other practice location 1

1301 Palm Ave Ste 100
Jacksonville, FL 32207-8457
Phone (904) 202-7300

Other practice location 2

14546 Old Saint Augustine Rd Ste 104
Jacksonville, FL 32258-5469
Phone (904) 271-6890

Other identifiers 10

IdentifierTypeStateIssuer
1115825OtherFLCARE PLUS
3625970OtherFLCIGNA
269981800MedicaidFL
299017OtherFLAVMED
7633639OtherFLAETNA
44111OtherFLBCBS
1098377OtherFLWELLCARE
P01451923OtherFLRR MEDICARE
P015696540OtherFLRR MEDICARE
1193468OtherFLWELLCARE

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
I20041019000769 FL Practitioner - Radiation Oncology 1254392772 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Jefferson Medical College of Thomas Jefferson University, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baptist MD Anderson Cancer Physicians IncGroup PAC ID 5991932063, 115 clinicians

Practice addresses (Care Compare)

1301 Palm Ave
Jacksonville, FL 32207-8432
Phone (904) 202-7300

Hospital & facility affiliations

  • Baptist Health Medical Center - Jacksonville Hospital, Jacksonville, FL, CCN 100088
  • Baptist Medical Center Beaches Hospital, Jacksonville Beach, FL, CCN 100117

Merit-based Incentive Payment System (MIPS)

Final score
85.84 of 100Reported as group
Quality
73.65
Promoting interoperability
100
Improvement activities
40
Cost
74.43

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME90197FLMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist MD Anderson Cancer Physicians Inc Radiation Oncology CurrentSince Jun 1, 2022 Accepting new patients
Physicians for a Community United for Research and Education LLC Radiation Oncology Past Accepting new patients
Physicians for a Community United for Research and Education LLC Radiation Oncology Past Accepting new patients
Baptist MD Anderson Cancer Physicians Radiation Oncology PastSince Dec 1, 2023 Accepting new patients
Premier Medical Clinic Past Accepting new patients
Heartland Oncology Partners, LLC Radiation Oncology Past Accepting new patients
Genesiscare USA of Florida LLC Past Accepting new patients
North Florida Cancer Center Lake City LLC Radiation Oncology Past Accepting new patients
Baptist MD Anderson Cancer Physicians Inc Radiation Oncology PastSince Dec 1, 2023 Accepting new patients
E Plus Florida Comprehensive Cancer Care, LLC Radiation Oncology PastSince Aug 4, 2003 Accepting new patients
Integrated Community Oncology Network LLC Radiation Oncology Past Accepting new patients
Baptist MD Anderson Cancer Physicians Inc Radiation Oncology PastSince Jun 1, 2022 Accepting new patients

Locations

2310 Village Square Pkwy
Ste 106C
Fleming Island, FL 32003

14546 Old Saint Augustine Rd
Ste 105
Jacksonville, FL 32258
Phone (904) 271-6890

1301 Palm Ave
Ste 100
Jacksonville, FL 32207

1301 Palm Ave
Jacksonville, FL 32207
Phone (844) 632-2278

1301 Palm Ave
Ste 101
Jacksonville, FL 32207

1235 San Marco Blvd
Jacksonville, FL 32207
Phone (904) 202-7020

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23008/brand/1/csg/1/fhir/r4
  • Direct secure messaging: nshah49398@baptisthealthsystemjacksonville.direct-ci.com

Organizations & group practices 12

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 2

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": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768521600000",
    "number": "1922000751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746654",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746654",
            "telephone_number": "904-202-2092",
            "fax_number": "904-376-4075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 VILLAGE SQUARE PKWY STE 106C",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320036409",
            "telephone_number": "904-202-7300",
            "fax_number": "904-202-2754"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 Palm Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322078457",
            "country_code": "US",
            "telephone_number": "904-202-7300",
            "fax_number": "904-202-2754",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14546 Old Saint Augustine Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322585469",
            "country_code": "US",
            "telephone_number": "904-271-6890",
            "fax_number": "904-202-2754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "NEENAD",
        "middle_name": "MAHENDRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "FL",
            "license": "ME90197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE PLUS",
            "identifier": "1115825",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3625970",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269981800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "299017",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7633639",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "44111",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "1098377",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01451923",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P015696540",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "1193468",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fleming Island, FL

Sources for this page

Verify at the official NPI Registry.