SYED RAZA SHAH M.D.
NPI 1205357688
Internal Medicine in Gainesville, FL

Active since July 06, 2017PECOS EnrolledAccepts Medicare Assignment
1147 NW 64TH TER, GAINESVILLE, FL 32605(352) 333-5159 Get Directions Write a Review

NPPES record last updated: May 31, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 31, 2023, Jul 21, 2022, Jul 12, 2020 and 1 more (4 updates tracked since 2017).

About Syed Raza Shah M.d. NPPES

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

SYED RAZA SHAH M.D. (NPI 1205357688) is an individual internal medicine provider in Gainesville, Florida, licensed in Pennsylvania (MD478957) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS, is affiliated with Conemaugh Memorial Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1205357688
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSYED RAZA SHAHCredential: M.D.
Location Address1147 NW 64TH TERGainesville, FL 32605-4218
Mailing Address1147 Nw 64th TerGainesville, FL 32605-4218 · (352) 333-5159
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 6, 2017
Last NPPES UpdateMay 31, 20234 updates tracked since enumeration
NPPES CertifiedMay 31, 2023
NPI 1205357688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in PA · MD478957 Licensed in FL · TRN25632
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 53520 (KY)
1147 NW 64TH TER, Gainesville, FL 32605

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Syed Raza Shah M.d. 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 ID9830512433
PECOS Enrollment IDI20230615002235
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.

Areas of Expertise CMS Part B claims 14

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
685 services520 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
464 services240 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.
409 services221 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
242 services239 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
133 services133 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.
66 services66 patients

Hospital Affiliations CMS Care Compare

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

Conemaugh Memorial Medical Center

Acute Care Hospitals · Johnstown, PA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number390110
Location1086 Franklin StreetJohnstown, PA 15905 · Cambria County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32605 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.

Other Providers at the Same Location NPPES 20

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

Student in an Organized Health Care Education/Training Program
1147 NW 64TH TER
GAINESVILLE, FL 32605
Student in an Organized Health Care Education/Training Program
1147 NW 64TH TER
GAINESVILLE, FL 32605
Student in an Organized Health Care Education/Training Program
1147 NW 64TH TER
GAINESVILLE, FL 32605
Emergency Medicine
1147 NW 64TH TER
GAINESVILLE, FL 32605
Student in an Organized Health Care Education/Training Program
1147 NW 64TH TER
GAINESVILLE, FL 32605
Student in an Organized Health Care Education/Training Program
1147 NW 64TH TER
GAINESVILLE, FL 32605
Student in an Organized Health Care Education/Training Program
1147 NW 64TH TER
GAINESVILLE, FL 32605
Student in an Organized Health Care Education/Training Program
1147 NW 64TH TER
GAINESVILLE, FL 32605

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 Syed Shah's NPI number?

The NPI number for Syed Shah is 1205357688. It was assigned to this individual provider in the NPPES registry on July 6, 2017.

Where is Syed Shah located?

Syed Shah practices at 1147 NW 64th Ter, Gainesville, FL 32605. The listed phone number is (352) 333-5159.

What is Syed Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Syed Shah enrolled in Medicare?

Yes. Syed 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.

What insurance does Syed Shah accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Syed 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 Syed Shah affiliated with any hospitals?

According to CMS data, Syed Shah is affiliated with Conemaugh Memorial Medical Center.

When was this NPI record last updated?

The NPPES record for Syed Shah was last updated on May 31, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.