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SHAMAL D NADKARNI M.D.
NPI 1396767455
Family Medicine in Gainesville, FL

Active since July 24, 2006PECOS Enrolled
75/100
CMS Quality Rating
1050 NW 8TH AVE, SUITE 30, GAINESVILLE, FL 32601(352) 271-3200(352) 271-3900 Get Directions Write a Review

NPPES record last updated: February 26, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 26, 2025, Jan 27, 2017 (2 updates tracked since 2017).

About Shamal D Nadkarni M.d. NPPES

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

SHAMAL D NADKARNI M.D. (NPI 1396767455) is an individual family medicine provider in Gainesville, Florida, licensed in Florida (ME65395) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Uf Health Shands Hospital, and is a graduate of University Of Florida College Of Medicine (1992).

NPPES Registry Identity

NPI1396767455
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSHAMAL D NADKARNICredential: M.D.
Location Address1050 NW 8TH AVE, SUITE 30Gainesville, FL 32601-4998
Mailing Address1050 Nw 8th Ave, Suite 30Gainesville, FL 32601-4998 · (352) 271-3200 · Fax (352) 271-3900
Phone(352) 271-3200
Fax(352) 271-3900
Sole ProprietorNo
Medical School CMSUniversity Of Florida College Of MedicineGraduated 1992
Enumeration DateJuly 24, 2006
Last NPPES UpdateFebruary 26, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2025
✔ NPI 1396767455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME65395
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1050 NW 8TH AVE, Gainesville, FL 32601
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Other Identifiers 4

Other208304Avmed
Medicaid377916500FL
OtherDR830AFL · Medicare Ptan
Other27074Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shamal D Nadkarni M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5890989172
PECOS Enrollment IDI20101101000209
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 Reassignment

Medicare enrollment records show Shamal Nadkarni reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Shamal D Nadkarni MD PA
Same address
Primary Care
1050 NW 8TH AVE STE 30
Gainesville, FL 32601
  • Reassigned Medicare billing, Florida enrollment
  • Medicare enrollment name: Shamal D Nadkarni M D P A
NPI 1164443255 (352) 271-3200

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 8

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
1,073 services242 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.
269 services117 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
170 services161 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.
81 services60 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
72 services72 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
72 services72 patients

Hospital Affiliations CMS Care Compare 2

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

Uf Health Shands Hospital

Acute Care Hospitals · Gainesville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100113
Location1600 SW Archer RdGainesville, FL 32610 · Alachua County
Emergency services Birthing friendly

Hca Florida North Florida Hospital

Acute Care Hospitals · Gainesville, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100204
Location6500 W Newberry RdGainesville, FL 32605 · Alachua County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32601 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%94 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 10

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers14 claims34 services$6.91 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
3 suppliers11 claims65 services$16.63 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
3 suppliers26 claims156 services$15.97 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers37 claims37 services$59.94 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
4 suppliers22 claims22 services$19.03 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
3 suppliers22 claims22 services$16.18 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 2

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

STEVEN PINKERT MD
Psychiatry & Neurology (Psychiatry)
1050 NW 8TH AVE, SUITE 20
GAINESVILLE, FL 32601
Alachua County (352) 377-5007
STEVEN PINKERT MD PA
Clinic/Center (Adult Mental Health)
1050 NW 8TH AVE
GAINESVILLE, FL 32601
Alachua County (352) 377-5007

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 Shamal Nadkarni's NPI number?

The NPI number for Shamal Nadkarni is 1396767455. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Shamal Nadkarni located?

Shamal Nadkarni practices at 1050 NW 8th Ave Suite 30, Gainesville, FL 32601. The listed phone number is (352) 271-3200.

What is Shamal Nadkarni's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Shamal Nadkarni enrolled in Medicare?

Yes. Shamal Nadkarni is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shamal Nadkarni's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shamal Nadkarni reassigns Medicare benefits to Shamal D Nadkarni MD PA (Gainesville, FL). The 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 Shamal Nadkarni's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shamal Nadkarni accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Shamal Nadkarni 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 Shamal Nadkarni affiliated with any hospitals?

According to CMS data, Shamal Nadkarni is affiliated with Uf Health Shands Hospital and Hca Florida North Florida Hospital.

When was this NPI record last updated?

The NPPES record for Shamal Nadkarni was last updated on February 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.