DR. SWATI M SHAH MBBS
NPI 1144424722
Internal Medicine - Rheumatology in Jacksonville, FL

Q: What is Swati Shah's NPI number?

The NPI number for Swati Shah is 1144424722. It was assigned to this individual provider in the NPPES registry on June 14, 2007. The provider is also known as Swati Rasiklal Modi.

Q: What is Swati Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Q: When was this NPI record last updated?

The NPPES record for Swati Shah was last updated on September 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 14, 2007PECOS EnrolledAccepts Medicare Assignment

91.62/100

CMS Quality Rating

9765 SAN JOSE BLVD STE 103, JACKSONVILLE, FL 32257(904) 517-8222(904) 517-1222 Get Directions Write a Review

NPPES record last updated: September 26, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 26, 2024, Dec 18, 2018, Dec 4, 2015 and 1 more (4 updates tracked since 2015).

On this page

About Dr. Swati M Shah Mbbs NPPES

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

DR. SWATI M SHAH MBBS (NPI 1144424722) is an individual rheumatology provider in Jacksonville, Florida, licensed in Florida (ME98418) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent's Riverside, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1144424722

Entity TypeIndividualFemale

Primary Taxonomy207RR0500X

Provider Legal NameDR. SWATI M SHAHCredential: MBBS

Location Address9765 SAN JOSE BLVD STE 103Jacksonville, FL 32257-5467

Mailing Address2255 Glades Rd Ste 228wBoca Raton, FL 33431-7391 · (904) 517-8222

Phone(904) 517-8222

Fax(904) 517-1222

Sole ProprietorNo

Medical School CMSOtherGraduated 2001

Enumeration DateJune 14, 2007

Last NPPES UpdateSeptember 26, 20244 updates tracked since enumeration

NPPES CertifiedSeptember 26, 2024

✔ NPI 1144424722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians

Taxonomy Code207RR0500X

License✔ Licensed in FL · ME98418

Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

9765 SAN JOSE BLVD STE 103, Jacksonville, FL 32257

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Other Names 1

Former Name (1)Swati Rasiklal Modi

Other Identifiers 3

OtherP01321209FL · Railroad Medicare

Medicaid163413836AGA

Medicaid2784947-00FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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

Dr. Swati M Shah Mbbs 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 ID4284728650

PECOS Enrollment IDI20070915000193

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 Reassignments

Medicare enrollment records show Swati Shah reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Baptist Primary Care Inc

1.1 mi

Family Medicine

10601 SAN JOSE BLVD STE 1401
Jacksonville, FL 32257

Reassigned Medicare billing, Florida enrollment
569 clinicians in this Medicare group

NPI 1225219157 (904) 260-3200

American Arthritis & Rheumatology Associates LLC

244 mi

Rheumatology

1025 MILITARY TRL STE 200
Jupiter, FL 33458

Reassigned Medicare billing, Florida enrollment
80 clinicians in this Medicare group

NPI 1598205072 (561) 747-1987

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

Areas of Expertise CMS Part B claims 23

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.

Injection, tocilizumab, 1 mg J3262

Tocilizumab is a medication administered via injection. It's used to treat certain conditions like rheumatoid arthritis by reducing inflammation in the body. It works by blocking a substance in the body that leads to inflammation.

142,394 services46 patients

Injection, golimumab, 1 mg, for intravenous use J1602

Golimumab is a medication given through an IV (a small tube in your vein). It helps to reduce inflammation and pain by blocking a protein in your body that causes inflammation. It's often used to treat conditions like rheumatoid arthritis, psoriatic arthritis, and ankylosing spondylitis.

45,513 services90 patients

Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) J0129

Abatacept is a medication administered via injection under a doctor's supervision. It's used to treat conditions like rheumatoid arthritis by moderating the immune system. This code applies when the doctor administers the drug, not for self-administration.

24,050 services58 patients

Injection, rituximab, 10 mg J9312

Rituximab is a medication given via injection. It's used to treat certain types of cancer and autoimmune diseases. The 10 mg dosage refers to the amount of the drug in the injection. It works by targeting and destroying specific cells, helping your body's immune system.

7,600 services44 patients

Injection, infliximab, excludes biosimilar, 10 mg J1745

Infliximab is a medication given via injection to treat certain autoimmune conditions. It works by blocking the action of a substance in your body that causes inflammation. Each dose is based on your medical condition and response to treatment.

5,811 services38 patients

Injection, denosumab, 1 mg J0897

Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.

5,280 services71 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.

1,137 services644 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

665 services280 patients

Administration of chemotherapy into vein, 1 hour or less 96413

Chemotherapy is a treatment that uses drugs to destroy cancer cells. When administered into a vein, it's often through an IV. This procedure usually lasts 1 hour or less. You may feel a slight pinch as the needle is inserted, but it's generally painless.

585 services172 patients

Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less 96365

This is a procedure where a medical professional inserts a small tube into your vein to deliver medication, nutrients, or fluids directly into your bloodstream. This can be for treatment, prevention, or diagnosis. The process typically takes less than an hour.

557 services171 patients

Administration of chemotherapy into vein, each additional hour 96415

Chemotherapy is a treatment method that uses drugs to destroy cancer cells. The drugs are administered into a vein, usually in the arm. Each additional hour of chemotherapy allows for more of the medication to enter your bloodstream to fight against the cancer cells.

389 services89 patients

Injection of additional new drug or substance into vein 96375

This procedure involves introducing a new medication or substance into your bloodstream via a vein. It's typically done using a small needle. The substance can help treat various conditions or assist in diagnostic procedures. It's generally safe and monitored by professionals.

202 services58 patients

Injection, zoledronic acid, 1 mg J3489

Zoledronic acid is a medication given via injection to strengthen bones. It's often used in patients with osteoporosis or certain types of cancer. The injection helps reduce the risk of fractures and other bone complications.

155 services31 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.

119 services119 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

116 services86 patients

Injection, diphenhydramine hcl, up to 50 mg J1200

Diphenhydramine HCL injection is a medicine given to alleviate symptoms of allergies, colds, or hay fever. It can also help with motion sickness and certain symptoms of Parkinson's disease. Up to 50 mg may be administered depending on your condition.

101 services53 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

85 services11 patients

Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle 96401

This procedure involves giving anti-cancer drugs, which don't contain hormones, into the muscle or under the skin. These drugs help to stop the growth of cancer cells. The process is usually quick and done by a healthcare professional.

51 services34 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

41 services27 patients

Injection, methylprednisolone sodium succinate, up to 125 mg J2930

Methylprednisolone sodium succinate is a steroid medication injected into a muscle or vein. It helps reduce inflammation and immune response. It's used for various conditions like allergies, arthritis, breathing problems, or skin diseases. It's important to follow your doctor's instructions.

37 services26 patients

Injection, ketorolac tromethamine, per 15 mg J1885

Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.

21 services11 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

18 services18 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

15 services14 patients

Hospital Affiliations CMS Care Compare 5

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

Ascension St Vincent's Riverside

Acute Care Hospitals · Jacksonville, FL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100040

Location1 Shircliff WayJacksonville, FL 32204 · Duval County

Emergency services

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100088

Location800 Prudential DrJacksonville, FL 32207 · Duval County

Emergency services Birthing friendly

Baptist Medical Center Beaches

Acute Care Hospitals · Jacksonville Beach, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100117

Location1350 13th Ave SJacksonville Beach, FL 32250 · Duval County

Emergency services Birthing friendly

Ed Fraser Memorial Hospital

Acute Care Hospitals · Macclenny, FL

OwnershipVoluntary non-profit - Private

CMS Certification Number100134

Location159 N 3rd StMacclenny, FL 32063 · Baker County

Emergency services

Baptist Medical Center - Nassau

Acute Care Hospitals · Fernandina Beach, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100140

Location1250 S 18th StFernandina Beach, FL 32034 · Nassau County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32257 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.62/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

77.61

Promoting Interoperability

100

Improvement Activities

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.

SWATI SHAH, MD RHEUMATOLOGY LLC

Internal Medicine (Rheumatology)

9765 SAN JOSE BLVD STE 103
JACKSONVILLE, FL 32257

Duval County (904) 517-8222

BEST LEAF LLC

Clinic/Center

9765 SAN JOSE BLVD STE 103
JACKSONVILLE, FL 32257

Duval County (904) 476-0966

HEALTH FOR ALL, LLC

Clinic/Center

9765 SAN JOSE BLVD STE 103
JACKSONVILLE, FL 32257

Duval County (904) 903-7961

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 Swati Shah's NPI number?

The NPI number for Swati Shah is 1144424722. It was assigned to this individual provider in the NPPES registry on June 14, 2007. The provider is also known as Swati Rasiklal Modi.

Where is Swati Shah located?

Swati Shah practices at 9765 San Jose Blvd Ste 103, Jacksonville, FL 32257. The listed phone number is (904) 517-8222.

What is Swati Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Swati Shah enrolled in Medicare?

Yes. Swati 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.

Which organizations bill Medicare for Swati Shah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Swati Shah reassigns Medicare benefits to 2 organizations: Baptist Primary Care Inc (Jacksonville, FL) and American Arthritis & Rheumatology Associates LLC (Jupiter, FL). Each 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 Swati Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Swati Shah accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Cigna HealthCare of Florida, Inc. and Cigna Healthcare and 4 other insurers list Swati 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 Swati Shah affiliated with any hospitals?

According to CMS data, Swati Shah is affiliated with Ascension St Vincent's Riverside, Baptist Health Medical Center - Jacksonville, Baptist Medical Center Beaches, Ed Fraser Memorial Hospital and Baptist Medical Center - Nassau.

When was this NPI record last updated?

The NPPES record for Swati Shah was last updated on September 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.