SUNRISE MEDICAL CLINIC
NPI 1194177857
Clinic/Center - Primary Care in Saint Petersburg, FL
About Sunrise Medical Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUNRISE MEDICAL CLINIC (NPI 1194177857) is a healthcare organization registered as a primary care in Saint Petersburg, Florida and active in the NPI registry since July 2016. The organization holds a CLIA Waiver certificate valid through August 7, 2028 and lists Nilamben D Shah, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sunrise Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Sunrise Medical Clinic, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 10D2117009
Sunrise Medical Clinic · Saint Petersburg, FLFrequently 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 Nilam D Shah PA's NPI number?
The NPI number for Nilam D Shah PA is 1194177857. It was assigned to this organization in the NPPES registry on July 6, 2016. The provider is doing business as Sunrise Medical Clinic.
Where is Nilam D Shah PA located?
Nilam D Shah PA is located at 5778 5th Ave N, Saint Petersburg, FL 33710. The listed phone number is (727) 388-2625.
What is Nilam D Shah PA's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Nilam D Shah PA enrolled in Medicare?
Yes. Nilam D Shah PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Nilam D Shah PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Nilam D Shah PA, in Internal Medicine and Nurse Practitioner. A 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 the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Nilam D Shah PA hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2117009) is associated with this NPI, valid through August 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Nilam D Shah PA accept?
Health plans from Ambetter Health, Ambetter of Alabama, AvMed and Molina Healthcare list Nilam D Shah PA 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 Nilam D Shah PA was last updated on January 30, 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.
# Sunrise Medical Clinic · NPI 1194177857
Primary Care organization in Saint Petersburg, Florida. Organization record, active in the CMS NPPES registry since July 6, 2016.
## Identity
- **NPI:** 1194177857 (Entity type: Organization)
- **Enumerated:** July 6, 2016
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Legal business name:** Nilam D Shah Pa
- **Organization subpart:** No
- **Authorized official:** Nilamben Shah, PRESIDENT
## Practice location
- **Address:** 5778 5TH AVE N, Saint Petersburg, FL 33710-7104
- **Phone:** (727) 388-2625 · **Fax:** (727) 828-9233
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (1), Nurse Practitioner (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 30, 2024
- **Other identifiers:** Medicaid 020378900 (FL)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1194177857) · Data from the CMS NPPES public registry.