NPIMap

Individual provider Active NPI

Sundeep Shah, M.D.

  • Nephrology Physician
  • Winter Garden, FL
National Provider Identifier
1982868972
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME110110 Issued in FL
Practice address
15815 Shaddock Dr Ste 130
Winter Garden, FL 34787-5773
Phone
(407) 605-2321
Fax
(407) 671-4155
NPI assigned
Jul 18, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X ME110110 FL Primary

Addresses

Primary practice location

15815 Shaddock Dr Ste 130
Winter Garden, FL 34787-5773

Mailing address

15815 Shaddock Dr Ste 130
Winter Garden, FL 34787-5773
Phone (407) 605-2321

Other practice location 1

301 Frontage Rd Ste B&c
Clermont, FL 34711-2447
Phone (352) 386-0190

Other practice location 2

2960 Maguire Rd Ste 1005
Ocoee, FL 34761-4755
Phone (407) 839-6885

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110929000639 FL Practitioner - Internal MedicinePractitioner - Nephrology 9133390826 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians
Premier Medical Associates All Florida LLCGroup PAC ID 2365418019, 10 clinicians
Premier Medical Associates of Florida Healthcare, PAGroup PAC ID 6800200940, 64 clinicians

Practice addresses (Care Compare)

1050 Old Camp Rd
Suite 282
The Villages, FL 32162-1762
Phone (352) 693-3378

1580 Santa Barbara Blvd
The Villages, FL 32159-6827
Phone (352) 259-2159

8768 SE 165TH Mulberry LN
Cora Physical Therapy Mulberry Lane
The Villages, FL 32162-5861
Phone (352) 329-5237

Hospital & facility affiliations

  • DaVita Wildwood Dialysis Dialysis facility, Wildwood, FL, CCN 682647
  • DaVita Lake Sumter Dialysis at The Villages Dialysis facility, The Villages, FL, CCN 682778
  • DaVita Laurel Manor Dialysis Center at the Villages Dialysis facility, Lady Lake, FL, CCN 102838
  • Centerwell Home Health Home health agency, The Villages, FL, CCN 108045
  • Concierge Home Care Home health agency, The Villages, FL, CCN 108320
  • Florida Homecare Specialists Inc Home health agency, Lady Lake, FL, CCN 109071
  • Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545
  • Villages Regional Hospital, the Hospital, The Villages, FL, CCN 100290

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301092097MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Medical Associates of Florida LLC CurrentSince Jan 1, 2021 Accepting new patients
Premier Medical Associates of Florida Healthcare, PA Internal Medicine CurrentSince Jan 1, 2021 Accepting new patients
Premier Specialty Alliance Inc Internal Medicine CurrentSince Jun 15, 2023 Accepting new patients
Premier Medical Associates of Florida LLC Internal Medicine CurrentSince Jan 1, 2021 Accepting new patients
Premier Medical Associates All Florida, LLC Internal Medicine CurrentSince Oct 1, 2011 Accepting new patients
All Podiatry Group Inc Nephrology CurrentSince Apr 1, 2026 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Eh Medical Group LLC Nephrology PastSince Apr 1, 2026 Accepting new patients

Locations

301 Frontage Rd
Unit B
Clermont, FL 34711

301 Frontage Rd
Ste Bc
Clermont, FL 34711
Phone (352) 386-0190

1004 N 14th St
Ste 109
Leesburg, FL 34748
Phone (352) 978-4888

2960 Maguire Rd
Ste 1005
Ocoee, FL 34761
Phone (407) 605-2321

1580 Santa Barbara Blvd
The Villages, FL 32159
Phone (352) 494-6882

1580 Santa Barbara Blvd
Ste D
The Villages, FL 32159
Phone (352) 508-1512

15815 Shaddock Dr
Ste 130
Winter Garden, FL 34787
Phone (407) 605-2321

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: sundeep.shah@pmaaf.eclinicaldirectplus.com

Organizations & group practices 9

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 11

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": "1216339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1982868972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15815 SHADDOCK DR STE 130",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347875773",
            "telephone_number": "407-605-2321",
            "fax_number": "407-671-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15815 SHADDOCK DR STE 130",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347875773",
            "telephone_number": "407-605-2321",
            "fax_number": "407-671-4155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Frontage Rd Ste B&c",
            "address_purpose": "LOCATION",
            "city": "Clermont",
            "state": "FL",
            "postal_code": "347112447",
            "country_code": "US",
            "telephone_number": "352-386-0190",
            "fax_number": "407-671-4155",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2960 Maguire Rd Ste 1005",
            "address_purpose": "LOCATION",
            "city": "Ocoee",
            "state": "FL",
            "postal_code": "347614755",
            "country_code": "US",
            "telephone_number": "407-839-6885",
            "fax_number": "407-671-4155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SUNDEEP",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-18",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME110110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Garden, FL

Sources for this page

Verify at the official NPI Registry.