HARDIK SHAH MD, MPH
NPI 1043766702
Internal Medicine - Gastroenterology in Port Orange, FL

Active since August 31, 2016PECOS EnrolledAccepts Medicare Assignment
3635 CLYDE MORRIS BLVD STE 100, PORT ORANGE, FL 32129(386) 788-1242 Get Directions Write a Review

NPPES record last updated: May 20, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 13, 2023, May 26, 2023, Aug 31, 2016 (3 updates tracked since 2016).

About Hardik Shah Md, Mph NPPES

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

HARDIK SHAH MD, MPH (NPI 1043766702) is an individual gastroenterology provider in Port Orange, Florida, licensed in Florida (ME163340) and active in the NPI registry since August 2016. He is enrolled in Medicare PECOS, is affiliated with Adventhealth New Smyrna Beach, and maintains a secondary practice location in Ormond Beach.

NPPES Registry Identity

NPI1043766702
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameHARDIK SHAHCredential: MD, MPH
Location Address3635 CLYDE MORRIS BLVD STE 100Port Orange, FL 32129-2349
Mailing Address4800 Belfort RdJacksonville, FL 32256-6004 · (904) 398-7205
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateAugust 31, 2016
Last NPPES UpdateMay 20, 20243 updates tracked since enumeration
NPPES CertifiedMay 20, 2024
NPI 1043766702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in FL · ME163340
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

3635 CLYDE MORRIS BLVD STE 100, Port Orange, FL 32129

Other Names 1

Former Name (1)Hardikkumar Mukeshbhai Shah Md, Mph

Secondary Practice Location 1

Location 1305 Clyde Morris Blvd Ste 270Ormond Beach, FL 32174-8182 · Phone (386) 788-1242

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Hardik Shah Md, Mph is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7214396738
PECOS Enrollment IDI20240604000103
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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
66 services22 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
43 services43 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
33 services31 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
24 services24 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
23 services22 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
20 services17 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Adventhealth New Smyrna Beach

Acute Care Hospitals · New Smyrna Beach, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100014
Location401 Palmetto StNew Smyrna Beach, FL 32170 · Volusia County
Emergency services

Adventhealth Daytona Beach

Acute Care Hospitals · Daytona Beach, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100068
Location301 Memorial Medical ParkwayDaytona Beach, FL 32117 · Volusia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32129 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 8

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

Internal Medicine (Gastroenterology)
3635 CLYDE MORRIS BLVD STE 100
PORT ORANGE, FL 32129
Internal Medicine (Gastroenterology)
3635 CLYDE MORRIS BLVD STE 100
PORT ORANGE, FL 32129
Physician Assistant (Medical)
3635 CLYDE MORRIS BLVD STE 100
PORT ORANGE, FL 32129
Internal Medicine (Gastroenterology)
3635 CLYDE MORRIS BLVD STE 100
PORT ORANGE, FL 32129
Physician Assistant (Medical)
3635 CLYDE MORRIS BLVD STE 100
PORT ORANGE, FL 32129
Physician Assistant (Medical)
3635 CLYDE MORRIS BLVD STE 100
PORT ORANGE, FL 32129
Internal Medicine (Gastroenterology)
3635 CLYDE MORRIS BLVD STE 100
PORT ORANGE, FL 32129
Internal Medicine (Gastroenterology)
3635 CLYDE MORRIS BLVD STE 100
PORT ORANGE, FL 32129

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 Hardik Shah's NPI number?

The NPI number for Hardik Shah is 1043766702. It was assigned to this individual provider in the NPPES registry on August 31, 2016. The provider is also known as Hardikkumar Mukeshbhai Shah MD, Mph.

Where is Hardik Shah located?

Hardik Shah practices at 3635 Clyde Morris Blvd Ste 100, Port Orange, FL 32129. The listed phone number is (386) 788-1242.

What is Hardik Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Hardik Shah enrolled in Medicare?

Yes. Hardik Shah is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Hardik Shah accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Health First Commercial Plans, Inc. and 4 other insurers list Hardik Shah 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.

Is Hardik Shah affiliated with any hospitals?

According to CMS data, Hardik Shah is affiliated with Adventhealth New Smyrna Beach and Adventhealth Daytona Beach.

When was this NPI record last updated?

The NPPES record for Hardik Shah was last updated on May 20, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.