Individual provider Active NPI

Badal Sunil Shah, D.O.

  • Gastroenterology Physician
  • Palm Harbor, FL
National Provider Identifier
1962765511
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
0S15091 Issued in FL
Practice address
3825 Countryside Blvd N
Palm Harbor, FL 34684-4928
Phone
(727) 784-2848
NPI assigned
Jun 19, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 0S15091 FL Primary

Addresses

Primary practice location

3825 Countryside Blvd N
Palm Harbor, FL 34684-4928

Mailing address

12191 W Linebaugh Ave Ste 770
Tampa, FL 33626-1732
Phone (904) 859-5029

Other practice location 1

2144 Welbilt Blvd
Trinity, FL 34655-5186
Phone (727) 859-4100

Other practice location 2

1061 Virginia St
Dunedin, FL 34698-7326
Phone (727) 733-4189

Other practice location 3

3030 W Bearss Ave
Tampa, FL 33618-1811
Phone (813) 968-8777 ext. 1214

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
I20181226000858 FL Practitioner - Gastroenterology 2365787157 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gi Health Specialists of Florida LLCGroup PAC ID 4789020843, 7 clinicians

Practice addresses (Care Compare)

Tampa, FL 33626
Phone (904) 859-5029

Hospital & facility affiliations

  • St Josephs Hospital Hospital, Tampa, FL, CCN 100075
  • Tampa General Hospital Hospital, Tampa, FL, CCN 100128
  • H Lee Moffitt Cancer Center & Research Institute I Hospital, Tampa, FL, CCN 100271
  • Adventhealth Tampa Hospital, Tampa, FL, CCN 100173
  • HCA Florida South Tampa Hospital Hospital, Tampa, FL, CCN 100206
  • Hawthorne Center for Rehabilitation and Healing of Nursing home, Brandon, FL, CCN 105881

Merit-based Incentive Payment System (MIPS)

Final score
88.36 of 100Reported as group
Quality
81.58
Promoting interoperability
94
Improvement activities
40
Cost
78.87

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0S15091FLMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aj Bidani, M.D. PA Gastroenterology CurrentSince Aug 1, 2018 Accepting new patients
Gi Health Specialists of Florida LLC Gastroenterology CurrentSince Apr 1, 2024 Accepting new patients
Tampa General Hospital Current Accepting new patients
Webmed Network LLC CurrentSince Feb 7, 2020 Accepting new patients

Locations

1061 Virginia St
Dunedin, FL 34698
Phone (727) 733-4189

3825 Countryside Blvd N
Palm Harbor, FL 34684
Phone (727) 781-1402

8787 Bryan Dairy Rd
Ste 340
Seminole, FL 33777

8787 Bryan Dairy Rd
Ste 310
Seminole, FL 33777
Phone (727) 393-1155

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

2144 Welbilt Blvd
Trinity, FL 34655
Phone (727) 376-3658

12191 W Linebaugh Ave
Westchase, FL 33626
Phone (813) 900-7246

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CAGCAA
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: sbadal312864@direct.tgh.org

Organizations & group practices 4

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 8

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": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1962765511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12191 W LINEBAUGH AVE STE 770",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336261732",
            "telephone_number": "904-859-5029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 COUNTRYSIDE BLVD N",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346844928",
            "telephone_number": "727-784-2848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2144 Welbilt Blvd",
            "address_purpose": "LOCATION",
            "city": "Trinity",
            "state": "FL",
            "postal_code": "346555186",
            "country_code": "US",
            "telephone_number": "727-859-4100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1061 Virginia St",
            "address_purpose": "LOCATION",
            "city": "Dunedin",
            "state": "FL",
            "postal_code": "346987326",
            "country_code": "US",
            "telephone_number": "727-733-4189",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3030 W Bearss Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336181811",
            "country_code": "US",
            "telephone_number": "813-968-8777 x1214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "BADAL",
        "middle_name": "SUNIL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-19",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "0S15091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

Verify at the official NPI Registry.