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BRIAN S SHAH DDS, MD
NPI 1104867431
Dentist - Oral and Maxillofacial Surgery in St. Petersburg, FL

Active since June 09, 2006Opted out of Medicare · through Apr 17, 2027
131 2ND AVE S, ST. PETERSBURG, FL 33701(727) 823-3220(727) 823-7284 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 5, 2025, May 16, 2025 (2 updates tracked since 2025).

About Brian S Shah Dds, Md NPPES

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

BRIAN S SHAH DDS, MD (NPI 1104867431) is an individual oral and maxillofacial surgery provider in St. Petersburg, Florida, licensed in Florida (ME139554) and active in the NPI registry since June 2006. He has opted out of Medicare through April 17, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1104867431
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameBRIAN S SHAHCredential: DDS, MD
Location Address131 2ND AVE SSt. Petersburg, FL 33701-4382
Mailing Address131 2nd Ave SSt. Petersburg, FL 33701-4382 · (727) 823-3220 · Fax (727) 823-7284
Phone(727) 823-3220
Fax(727) 823-7284
Sole ProprietorNo
Enumeration DateJune 9, 2006
Last NPPES UpdateJune 5, 20252 updates tracked since enumeration
NPPES CertifiedJune 5, 2025
✔ NPI 1104867431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses✔ Licensed in FL · ME139554✔ Licensed in IL · 019.028191
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedOral & Maxillofacial SurgeryTaxonomy 204E00000X · License 036.125106 (IL)
131 2ND AVE S, St. Petersburg, FL 33701
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Brian S Shah Dds, Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 17, 2019 through April 17, 2027.

Opt-Out Effective DateApril 17, 2019
Opt-Out In Effect ThroughApril 17, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33701 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
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
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 2

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

DR. ANDREW MCDONALD DDS
Dentist (Orthodontics and Dentofacial Orthopedics)
131 2ND AVE S
ST PETERSBURG, FL 33701
Pinellas County (727) 350-6222
BRIAN SHAH, MD, PLLC
Clinic/Center (Oral and Maxillofacial Surgery)
131 2ND AVE S
SAINT PETERSBURG, FL 33701
Pinellas County (727) 823-3220

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 Brian Shah's NPI number?

The NPI number for Brian Shah is 1104867431. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Where is Brian Shah located?

Brian Shah practices at 131 2nd Ave S, St. Petersburg, FL 33701. The listed phone number is (727) 823-3220.

What is Brian Shah's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Brian Shah enrolled in Medicare?

No. Brian Shah has opted out of Medicare through April 17, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Brian Shah accept?

Health plans from Humana list Brian 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.

When was this NPI record last updated?

The NPPES record for Brian Shah was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.