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KHUSSBU SHAH OD
NPI 1205423373
Optometrist in Tampa, FL

Active since December 23, 2020PECOS EnrolledAccepts Medicare Assignment
14014 N 46TH ST STE A, TAMPA, FL 33613(813) 284-2323(813) 377-1715 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 6, 2025, Jul 8, 2022, Dec 23, 2020 (3 updates tracked since 2020).

About Khussbu Shah Od NPPES

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

KHUSSBU SHAH OD (NPI 1205423373) is an individual optometrist in Tampa, Florida, licensed in Florida (OPC6054) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Tampa, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1205423373
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameKHUSSBU SHAHCredential: OD
Location Address14014 N 46TH ST STE ATampa, FL 33613-4018
Mailing Address38135 Market Square DrZephyrhills, FL 33542-7539 · (813) 284-2323 · Fax (813) 377-1715
Phone(813) 284-2323
Fax(813) 377-1715
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateDecember 23, 2020
Last NPPES UpdateOctober 6, 20253 updates tracked since enumeration
NPPES CertifiedOctober 6, 2025
✔ NPI 1205423373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in FL · OPC6054
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
14014 N 46TH ST STE A, Tampa, FL 33613
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Secondary Practice Location 1

Location 13108 N Boundary Blvd Ste 30Tampa, FL 33621-5050 · Phone (813) 840-1161

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Anthem Blue Cross and Blue Shield, AvMed 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

Khussbu Shah Od 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 ID4688080815
PECOS Enrollment IDI20220615000238
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

6

Medicare enrollment records show Khussbu Shah reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gulf Coast Optometry, PA
7.6 mi
Corneal and Contact Management
1725 W DR MARTIN LUTHER KING JR BLVD
Tampa, FL 33607
  • Reassigned Medicare billing, Florida enrollment
  • 209 clinicians in this Medicare group
NPI 1083859409 (239) 800-1717
Kkoptom LLC
16 mi
Optometrist
3108 N BOUNDARY BLVD
Tampa, FL 33621
  • Reassigned Medicare billing, Florida enrollment
NPI 1548135106 (813) 840-1161
Florida Medical Clinic LLC
19 mi
Clinic/Center
38135 MARKET SQUARE
Zephyrhills, FL 33542
  • Reassigned Medicare billing, Florida enrollment
  • 451 clinicians in this Medicare group
NPI 1821055690 (813) 780-8440
Ohi West Medical Group II LLC
19 mi
General Practice
38135 MARKET SQUARE DR
Zephyrhills, FL 33542
  • Reassigned Medicare billing, Florida enrollment
  • 467 clinicians in this Medicare group
NPI 1982381299 (813) 780-8774
Sightrite Medical Fl PLLC
995 mi
Optometrist
232 BROADWAY
Brooklyn, NY 11211
  • Reassigned Medicare billing, Florida enrollment
  • 32 clinicians in this Medicare group
NPI 1568977494 (212) 764-0008
Swift Optometry Care PC
1,106 mi
Optometrist
26 SHENIPSIT LAKE RD
Tolland, CT 06084
  • Reassigned Medicare billing, Florida enrollment
  • 6 clinicians in this Medicare group
NPI 1063753887 (212) 734-6621

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 4

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.

Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
630 services275 patients
New patient problem focused exam of visual system 92002
A new patient problem-focused exam of the visual system is a basic evaluation of your eyes and vision. It includes checking your eye movements, visual acuity, and general eye health. It helps detect any potential issues early for timely treatment.
62 services62 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
50 services50 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33613 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
$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

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

FLORIDA MEDICAL CLINIC LLC
Clinic/Center (Multi-Specialty)
14014 N 46TH ST STE A
TAMPA, FL 33613
Hillsborough County (813) 284-2323

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 Khussbu Shah's NPI number?

The NPI number for Khussbu Shah is 1205423373. It was assigned to this individual provider in the NPPES registry on December 23, 2020.

Where is Khussbu Shah located?

Khussbu Shah practices at 14014 N 46th St Ste A, Tampa, FL 33613. The listed phone number is (813) 284-2323.

What is Khussbu Shah's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Khussbu Shah enrolled in Medicare?

Yes. Khussbu 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 Khussbu Shah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Khussbu Shah reassigns Medicare benefits to 6 organizations: Gulf Coast Optometry, PA (Tampa, FL), Kkoptom LLC (Tampa, FL), Florida Medical Clinic LLC (Zephyrhills, FL), Ohi West Medical Group II LLC (Zephyrhills, FL), Sightrite Medical Fl PLLC (Brooklyn, NY) and 1 more organization, listed in the Medicare section above. 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 Khussbu Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Khussbu Shah accept?

Health plans from AmeriHealth Caritas Next, Anthem Blue Cross and Blue Shield, AvMed, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 10 other insurers list Khussbu 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 Khussbu Shah was last updated on October 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.