SUNRISE MEDICAL CLINIC
NPI 1194177857
Clinic/Center - Primary Care in Saint Petersburg, FL

Active since July 06, 2016CLIA 10D2117009 · Waiver
5778 5TH AVE N, SAINT PETERSBURG, FL 33710(727) 388-2625(727) 828-9233 Get Directions Write a Review

NPPES record last updated: January 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 10, 2023, Jun 11, 2019, Jun 16, 2018 and 4 more (7 updates tracked since 2016).

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, 2026 and lists Nilamben D Shah, President, as its authorized official.

NPPES Registry Identity

NPI1194177857
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameNILAM D SHAH PA
Location Address5778 5TH AVE NSaint Petersburg, FL 33710-7104
Mailing Address5778 5th Ave NSaint Petersburg, FL 33710-7104 · (727) 388-2625 · Fax (727) 828-9233
Fax(727) 828-9233
Organization SubpartNo
Authorized OfficialNilamben D ShahPresident · (727) 417-0233
Enumeration DateJuly 6, 2016
Last NPPES UpdateJanuary 30, 20247 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2024
NPI 1194177857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedInternal MedicineTaxonomy 207R00000X
5778 5TH AVE N, Saint Petersburg, FL 33710

Other Names 1

Doing Business AsSunrise Medical Clinic

Other Identifiers 1

Medicaid020378900FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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, FL
Active · expires Aug 7, 2026
CLIA Number10D2117009
Laboratory TypePhysician Office
Certificate Effective DateAugust 8, 2024
Certificate Expiration DateAugust 7, 2026
Laboratory DirectorNilam D. Shah
Laboratory Phone(727) 388-2625
Laboratory LocationSunrise Medical Clinic5750 5th Ave N, Saint Petersburg, FL 33710
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

Internal Medicine
5778 5TH AVE N
SAINT PETERSBURG, FL 33710
Nurse Practitioner (Family)
5778 5TH AVE N
ST PETERSBURG, FL 33710
Physician Assistant
5778 5TH AVE N
ST PETERSBURG, FL 33710

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 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.

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, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Nilam D Shah PA accept?

Health plans from 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.