Individual provider Active NPI

Shalaka Ghate, MD

  • Family Medicine Physician
  • Ponte Vedra Beach, FL
National Provider Identifier
1932399045
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME99114 Issued in FL
Practice address
520 A1A N Ste 1
Ponte Vedra Beach, FL 32082-5212
Phone
(904) 273-6900
Fax
(904) 390-7479
NPI assigned
Jul 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME99114 FL Primary

Addresses

Primary practice location

520 A1A N Ste 1
Ponte Vedra Beach, FL 32082-5212

Mailing address

PO Box 746638
Atlanta, GA 30374-6638
Phone (903) 290-2103

Other practice location 1

950 Marsh Landing Pkwy
Jacksonville, FL 32250-1406
Phone (904) 273-6900

Other identifiers 1

IdentifierTypeStateIssuer
00984000MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address SHALAKA.GHATE@hca5.eclinicaldirectplus.com

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
I20081021000515 FL Practitioner - Family Practice 5092873943 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baptist Primary Care IncGroup PAC ID 0648177733, 459 clinicians

Practice addresses (Care Compare)

520 A1A
Suite 101
Ponte Vedra Beach, FL 32082-2260
Phone (904) 273-6900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.44 of 100Reported as apm
Quality
84.21
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME99114FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Primary Care Inc Family Medicine Current Accepting new patients
Baptist Primary Care Inc Family Medicine CurrentSince Sep 1, 2022 Accepting new patients
Baptist Primary Care Inc. Family Medicine CurrentSince Sep 1, 2022 Accepting new patients

Locations

836 Prudential Dr
Ste 1207
Jacksonville, FL 32207
Phone (904) 396-8656

950 Marsh Landing Pkwy
Ste 105B
Jacksonville Beach, FL 32250
Phone (904) 376-4900

520 A1A N
Ste 101
Ponte Vedra Beach, FL 32082
Phone (904) 273-6900

Interoperability endpoints

  • Direct secure messaging: shalaka.ghate@hca5.eclinicaldirectplus.com
  • Direct secure messaging: sghate119056@baptisthealthsystemjacksonville.direct-ci.com

Organizations & group practices 3

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 7

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": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1932399045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746638",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746638",
            "telephone_number": "903-290-2103",
            "fax_number": "904-376-4107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 A1A N STE 1",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320825212",
            "telephone_number": "904-273-6900",
            "fax_number": "904-390-7479"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "950 Marsh Landing Pkwy",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322501406",
            "country_code": "US",
            "telephone_number": "904-273-6900",
            "fax_number": "904-390-7479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHATE",
        "first_name": "SHALAKA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-26",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME99114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00984000",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SHALAKA.GHATE@hca5.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "6111 Beach Blvd",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322162751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ponte Vedra Beach, FL

Sources for this page

Verify at the official NPI Registry.