Individual provider Active NPI

Vidhi Shah, M.D.

  • Dermatology Physician
  • Brooksville, FL
National Provider Identifier
1932632239
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
149468 Issued in FL
Practice address
17222 Hospital Blvd Ste 346
Brooksville, FL 34601-8925
Phone
(352) 796-3334
Fax
(352) 796-3323
NPI assigned
Apr 4, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 26382 FL
Dermatology Physician 207N00000X 149468 FL Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

17222 Hospital Blvd Ste 346
Brooksville, FL 34601-8925

Mailing address

17222 Hospital Blvd Ste 346
Brooksville, FL 34601-8925
Phone (352) 793-3334

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
I20211217000984 FL Practitioner - Dermatology 9638441959 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Missouri, Kansas City, School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Aesthetic Plastic Surgery PAGroup PAC ID 4284739079, 7 clinicians

Practice addresses (Care Compare)

17222 Hospital Blvd
Suite 346
Brooksville, FL 34601-8925
Phone (352) 796-3334

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision42
Removal of tissue1-10
Removal of skin lesions1122
Skin biopsy647

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
149468FLMDDermatology Physician
26382FLMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Aesthetic Plastic Surgery PA Dermatology CurrentSince Dec 1, 2021 Accepting new patients

Locations

17222 Hospital Blvd
Ste 346
Brooksville, FL 34601
Phone (352) 593-5963

5915 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 794-3872

8425 Northcliffe Blvd
Ste 102
Spring Hill, FL 34606
Phone (352) 596-1040

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: vidhis@caps.emadirect.md

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.

NPI Registry JSON

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

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1932632239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17222 HOSPITAL BLVD STE 346",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346018925",
            "telephone_number": "352-793-3334",
            "fax_number": "352-796-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17222 HOSPITAL BLVD STE 346",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346018925",
            "telephone_number": "352-796-3334",
            "fax_number": "352-796-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "VIDHI",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-04",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "26382",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "149468",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooksville, FL

Sources for this page

Verify at the official NPI Registry.