REHAN SHAH MD
NPI 1255521332
Internal Medicine - Nephrology in Jacksonville, FL

Q: What is Rehan Shah's NPI number?

The NPI number for Rehan Shah is 1255521332. It was assigned to this individual provider in the NPPES registry on July 26, 2007.

Q: What is Rehan Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Rehan Shah was last updated on April 22, 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 July 26, 2007PECOS Enrolled

6817 SOUTHPOINT PKWY STE 203, JACKSONVILLE, FL 32216(904) 330-1024 Get Directions Write a Review

NPPES record last updated: April 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 22, 2024, Apr 19, 2024, Aug 9, 2023 and 2 more (5 updates tracked since 2021).

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About Rehan Shah Md NPPES

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

REHAN SHAH MD (NPI 1255521332) is an individual nephrology provider in Jacksonville, Florida, licensed in Florida (ME127447) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1255521332

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameREHAN SHAHCredential: MD

Location Address6817 SOUTHPOINT PKWY STE 203Jacksonville, FL 32216-6286

Mailing AddressPo Box 516Oregon, IL 61061-0516 · (214) 272-2774

Phone(904) 330-1024

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateJuly 26, 2007

Last NPPES UpdateApril 22, 20245 updates tracked since enumeration

NPPES CertifiedApril 22, 2024

✔ NPI 1255521332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

Licenses✔ Licensed in FL · ME127447✔ Licensed in WA · MD61072096✔ Licensed in GA · 071567✔ Licensed in TX · S2503

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Also ListedInternal MedicineTaxonomy 207R00000X · License 071567 (GA)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

6817 SOUTHPOINT PKWY STE 203, Jacksonville, FL 32216

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Secondary Practice Locations 3

Location 12225 US Highway 41 NTifton, GA 31794-2749 · Phone (229) 391-4100

Location 21201 Pacific Ave Ste 400Tacoma, WA 98402-4381 · Phone (253) 300-8453

Location 34510 Medical Center Dr Ste 202McKinney, TX 75069-1605 · Phone (214) 272-2774 · Fax (214) 444-7059

Other Identifiers 1

Medicaid2173910WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rehan Shah Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6305018870

PECOS Enrollment IDI20190125001137, I20191118000736, I20200629000881, I20220720002201

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32216 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.

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Other Providers at the Same Location NPPES 12

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

JASON ALLEN

Nurse Practitioner (Primary Care)