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RAJ D SHETH MD
NPI 1023081775
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Jacksonville, FL

Active since February 10, 2006PECOS Enrolled
807 CHILDREN'S WAY, JACKSONVILLE, FL 32207(904) 390-3600(904) 390-3422 Get Directions Write a Review

NPPES record last updated: October 7, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Raj D Sheth Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAJ D SHETH MD (NPI 1023081775) is an individual neurology with special qualifications in child neurology provider in Jacksonville, Florida, licensed in Florida (ME102097) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023081775
Entity TypeIndividualMale
Primary Taxonomy2084N0402X
Provider Legal NameRAJ D SHETHCredential: MD
Location Address807 CHILDREN'S WAYJacksonville, FL 32207
Mailing AddressPo Box 191, Provider Enrollment DeptRockland, DE 19732-0191 · (302) 651-6212 · Fax (302) 651-4945
Phone(904) 390-3600
Fax(904) 390-3422
Sole ProprietorNo
Enumeration DateFebruary 10, 2006
Last NPPES UpdateOctober 7, 2011
✔ NPI 1023081775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0402X
License✔ Licensed in FL · ME102097
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License 39298 (WI), ME102097 (FL)
807 CHILDREN'S WAY, Jacksonville, FL 32207
Open in Google Maps ↗

Other Identifiers 3

Medicaid32380900WI
Medicare ID-Type Unspecified053115875
Medicare UPINF65992

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Raj D Sheth Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Raj Sheth reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Nemours Foundation
Same address
Multi-Specialty
807 CHILDRENS WAY
Jacksonville, FL 32207
  • Reassigned Medicare billing, Florida enrollment
  • 703 clinicians in this Medicare group
NPI 1265585806 (904) 697-3600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32207 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RUPHLAL ROBERT GOOLJAR
Prosthetist
807 CHILDREN'S WAY
JACKSONVILLE, FL 32207
Duval County (904) 390-3600
UWAYEMWEN OGBONMWONKPA AIDEYAN MD
Radiology (Pediatric Radiology)
807 CHILDREN'S WAY
JACKSONVILLE, FL 32207
Duval County (904) 390-3600
ROXANN B PIKE M.D.
Anesthesiology (Pediatric Anesthesiology)
807 CHILDREN'S WAY
JACKSONVILLE, FL 32207
Duval County (904) 697-3600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Raj Sheth's NPI number?

The NPI number for Raj Sheth is 1023081775. It was assigned to this individual provider in the NPPES registry on February 10, 2006.

Where is Raj Sheth located?

Raj Sheth practices at 807 Children's Way, Jacksonville, FL 32207. The listed phone number is (904) 390-3600.

What is Raj Sheth's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Is Raj Sheth enrolled in Medicare?

Yes. Raj Sheth is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Raj Sheth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raj Sheth reassigns Medicare benefits to The Nemours Foundation (Jacksonville, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Raj Sheth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Raj Sheth accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Raj Sheth as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Raj Sheth was last updated on October 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.