SHISHIR DAVID
NPI 1053937763
Family Medicine in Jacksonville, FL

Active since June 18, 2020PECOS Enrolled
3059 EDGEWOOD AVE W, JACKSONVILLE, FL 32209(904) 647-3180(904) 425-9030 Get Directions Write a Review

NPPES record last updated: July 27, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 27, 2023, Jun 18, 2020 (2 updates tracked since 2020).

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.

NPPES Registry Identity

NPI1053937763
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSHISHIR DAVID
Location Address3059 EDGEWOOD AVE WJacksonville, FL 32209-2207
Mailing Address3059 Edgewood Ave WJacksonville, FL 32209-2207 · (904) 647-3180 · Fax (904) 425-9030
Fax(904) 425-9030
Sole ProprietorNo
Enumeration DateJune 18, 2020
Last NPPES UpdateJuly 27, 20232 updates tracked since enumeration
NPPES CertifiedJuly 27, 2023
NPI 1053937763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in FL · ME163941
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3059 EDGEWOOD AVE W, Jacksonville, FL 32209

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Shishir David 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.

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.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
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 10

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

Nurse Practitioner (Family)
3059 EDGEWOOD AVE W
JACKSONVILLE, FL 32209
Internal Medicine
3059 EDGEWOOD AVE W
JACKSONVILLE, FL 32209
Nurse Practitioner
3059 EDGEWOOD AVE W
JACKSONVILLE, FL 32209
Internal Medicine (Geriatric Medicine)
3059 EDGEWOOD AVE W
JACKSONVILLE, FL 32209
Internal Medicine
3059 EDGEWOOD AVE W
JACKSONVILLE, FL 32209
Family Medicine
3059 EDGEWOOD AVE W
JACKSONVILLE, FL 32209
Podiatrist
3059 EDGEWOOD AVE W
JACKSONVILLE, FL 32209
Family Medicine
3059 EDGEWOOD AVE W
JACKSONVILLE, FL 32209

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 enrollment system.

When was this NPI record last updated?

The NPPES record for Shishir David was last updated on July 27, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.