SHISHIR DAVID
NPI 1053937763
Family Medicine in Jacksonville, FL
About Shishir David NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHISHIR DAVID (NPI 1053937763) is an individual family medicine provider in Jacksonville, Florida, licensed in Florida (ME163941) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Shishir David 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.
Medicare Billing Reassignment
Medicare enrollment records show Shishir David reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Jacksonville, FL 32209
- Reassigned Medicare billing, Florida enrollment
- 348 clinicians in this Medicare group
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 32209 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Shishir David's NPI number?
The NPI number for Shishir David is 1053937763. It was assigned to this individual provider in the NPPES registry on June 18, 2020.
Where is Shishir David located?
Shishir David practices at 3059 Edgewood Ave W, Jacksonville, FL 32209. The listed phone number is (904) 647-3180.
What is Shishir David's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Shishir David enrolled in Medicare?
Yes. Shishir David 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.
Which organization bills Medicare for Shishir David's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shishir David reassigns Medicare benefits to Dedicated Senior Medical Center Of Florida, LLC (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 Shishir David's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Shishir David was last updated on July 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Shishir David · NPI 1053937763
Family Medicine physician in Jacksonville, Florida. Individual provider, active in the CMS NPPES registry since June 18, 2020.
## Identity
- **NPI:** 1053937763 (Entity type: Individual)
- **Enumerated:** June 18, 2020
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** ME163941 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 3059 EDGEWOOD AVE W, Jacksonville, FL 32209-2207
- **Phone:** (904) 647-3180 · **Fax:** (904) 425-9030
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Dedicated Senior Medical Center Of Florida, LLC (NPI 1033626122, Jacksonville, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** July 27, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1053937763) · Data from the CMS NPPES public registry.