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DR. NIKITA C SHAH MD
NPI 1265417505
Internal Medicine - Hematology & Oncology in Orlando, FL

Active since December 09, 2005PECOS EnrolledAccepts Medicare Assignment
22 W UNDERWOOD ST, ORLANDO, FL 32806(407) 648-3800(407) 425-5203 Get Directions Write a Review

NPPES record last updated: July 1, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 1, 2019, Nov 9, 2016 (2 updates tracked since 2016).

About Dr. Nikita C Shah Md NPPES

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

DR. NIKITA C SHAH MD (NPI 1265417505) is an individual hematology & oncology provider in Orlando, Florida, licensed in Florida (ME79312) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, is affiliated with Orlando Health, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1265417505
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameDR. NIKITA C SHAHCredential: MD
Location Address22 W UNDERWOOD STOrlando, FL 32806-1110
Mailing Address22 W Underwood StOrlando, FL 32806-1110 · (407) 648-3800 · Fax (407) 425-5203
Phone(407) 648-3800
Fax(407) 425-5203
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateDecember 9, 2005
Last NPPES UpdateJuly 1, 20192 updates tracked since enumeration
✔ NPI 1265417505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in FL · ME79312
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
22 W UNDERWOOD ST, Orlando, FL 32806
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Other Identifiers 1

Medicaid258008000FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, AmeriHealth Caritas Next 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 and accepts Medicare assignment

Dr. Nikita C Shah Md 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 ID9133260409
PECOS Enrollment IDI20100108000322
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 10

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 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.
274 services170 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
141 services65 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
63 services49 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
43 services43 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.
41 services40 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
28 services15 patients

Hospital Affiliations CMS Care Compare 5

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

Orlando Health

Acute Care Hospitals · Orlando, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100006
Location52 W Underwood StOrlando, FL 32806 · Orange County
Emergency services Birthing friendly

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

Orlando Health-Health Central Hospital

Acute Care Hospitals · Ocoee, FL
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number100030
Location10000 W Colonial DrOcoee, FL 34761 · Orange County
Emergency services

Orlando Health South Lake Hospital

Acute Care Hospitals · Clermont, FL
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100051
Location1900 Don Wickham DrClermont, FL 34711 · Lake County
Birthing friendly

Melbourne Regional Medical Center

Acute Care Hospitals · Melbourne, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100291
Location250 North Wickham RoadMelbourne, FL 32935 · Brevard County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32806 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
$171.84 typical visit price
range $56.00 – $171.84
Typical copayment $42.96 (range $14.00 – $42.96)
Most-billed visit code 99205
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers37 claims3,388 services$0.63 avg. paid by Medicare
Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type L8000
DME-Orthotic Devices · category DF000N
4 suppliers26 claims81 services$35.92 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
2 suppliers27 claims27 services$17.57 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

THOMAS A CSENCSITZ MD
Orthopaedic Surgery
22 W UNDERWOOD ST, 4TH FLOOR
ORLANDO, FL 32806
Orange County (407) 649-6878
ANDREW BURGESS MD
Orthopaedic Surgery
22 W UNDERWOOD ST, 4TH FLOOR
ORLANDO, FL 32806
Orange County (407) 649-6878
INTERVENTIONAL REHABILITATION OF SOUTH FLORIDA, INC
Anesthesiology (Pain Medicine)
22 W UNDERWOOD ST
ORLANDO, FL 32806
Orange County (877) 328-1119
ANESTHESIOLOGISTS OF GREATER ORLANDO INC
Anesthesiology
22 W UNDERWOOD ST
ORLANDO, FL 32806
Orange County (954) 939-5000
MS. SILVIYA GENEVA DRAGIEVA ARNP
Nurse Practitioner (Adult Health)
22 W UNDERWOOD ST
ORLANDO, FL 32806
Orange County (407) 648-3800
DR. ROBERT H HAWES MD
Internal Medicine (Gastroenterology)
22 W UNDERWOOD ST
ORLANDO, FL 32806
Orange County (321) 842-2273
FLORIDA HOME HEALTH'S PINK RIBBON BOUTIQUE
Durable Medical Equipment & Medical Supplies
22 W UNDERWOOD ST, 3RD FLOOR
ORLANDO, FL 32806
Orange County (407) 843-2777
MAKALA QUINN JOHNSON PA-C
Physician Assistant (Surgical)
22 W UNDERWOOD ST
ORLANDO, FL 32806
Orange County (321) 841-5111

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 Nikita Shah's NPI number?

The NPI number for Nikita Shah is 1265417505. It was assigned to this individual provider in the NPPES registry on December 9, 2005.

Where is Nikita Shah located?

Nikita Shah practices at 22 W Underwood St, Orlando, FL 32806. The listed phone number is (407) 648-3800.

What is Nikita Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Nikita Shah enrolled in Medicare?

Yes. Nikita 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 Nikita Shah accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list Nikita 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 Nikita Shah affiliated with any hospitals?

According to CMS data, Nikita Shah is affiliated with Orlando Health, Adventhealth Orlando, Orlando Health-Health Central Hospital, Orlando Health South Lake Hospital and Melbourne Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Nikita Shah was last updated on July 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.