DR. AMIT NAVIN SHAH M.D.
NPI 1437440112
Internal Medicine - Pulmonary Disease in Sarasota, FL

Active since April 28, 2011PECOS EnrolledAccepts Medicare Assignment
81.11/100
CMS Quality Rating
1921 WALDEMERE ST STE 705, SARASOTA, FL 34239(941) 366-5864 Get Directions Write a Review

NPPES record last updated: January 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 21, 2022, Sep 20, 2019, Jul 19, 2019 and 4 more (7 updates tracked since 2017).

About Dr. Amit Navin Shah M.d. NPPES

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

DR. AMIT NAVIN SHAH M.D. (NPI 1437440112) is an individual pulmonary disease provider in Sarasota, Florida, licensed in Florida (ME120616) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with Sarasota Memorial Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1437440112
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. AMIT NAVIN SHAHCredential: M.D.
Location Address1921 WALDEMERE ST STE 705Sarasota, FL 34239-2913
Mailing Address1921 Waldemere St Ste 705Sarasota, FL 34239-2913 · (941) 366-5864
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateApril 28, 2011
Last NPPES UpdateJanuary 21, 20227 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2022
NPI 1437440112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in FL · ME120616
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedHospitalistTaxonomy 208M00000X · License ME120616 (FL)
1921 WALDEMERE ST STE 705, Sarasota, FL 34239

Secondary Practice Locations 3

Location 12600 Laurel Rd ENorth Venice, FL 34275-3226 · Phone (941) 917-9000
Location 21700 S Tamiami TrlSarasota, FL 34239-3555 · Phone (941) 917-9000
Location 3200 Healthcare Way Unit 102North Venice, FL 34275-3670 · Phone (941) 366-5864

Other Identifiers 1

Medicaid019660000FL

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

Dr. Amit Navin 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 ID6305120205
PECOS Enrollment IDI20170221000561
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 20

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.
576 services366 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
491 services262 patients
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.
382 services234 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.
318 services226 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.
201 services171 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
173 services171 patients

Hospital Affiliations CMS Care Compare 3

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

Sarasota Memorial Hospital

Acute Care Hospitals · Sarasota, FL
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100087
Location1700 S Tamiami TrlSarasota, FL 34239 · Sarasota County
Emergency services Birthing friendly

Desoto Memorial Hospital

Acute Care Hospitals · Arcadia, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number100175
Location900 N Robert AveArcadia, FL 34265 · De Soto County
Emergency services

Sarasota Memorial Hospital - Venice

Acute Care Hospitals · North Venice, FL
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100359
Location2600 Laurel Rd ENorth Venice, FL 34275 · Sarasota County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34239 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.

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.

81.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.84
Promoting Interoperability98
Improvement Activities40
Cost50.02

Referred Medical Equipment & Supplies CMS DME claims 18

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
7 suppliers41 claims41 services$34.11 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
7 suppliers22 claims22 services$78.50 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
6 suppliers21 claims61 services$30.68 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
4 suppliers12 claims66 services$17.35 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 suppliers25 claims25 services$47.31 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
7 suppliers25 claims25 services$15.82 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.

Internal Medicine (Pulmonary Disease)
1921 WALDEMERE ST STE 705
SARASOTA, FL 34239
Internal Medicine
1921 WALDEMERE ST STE 705
SARASOTA, FL 34239
Internal Medicine (Pulmonary Disease)
1921 WALDEMERE ST STE 705
SARASOTA, FL 34239
Internal Medicine (Pulmonary Disease)
1921 WALDEMERE ST STE 705
SARASOTA, FL 34239
Physician Assistant (Medical)
1921 WALDEMERE ST STE 705
SARASOTA, FL 34239
Internal Medicine (Pulmonary Disease)
1921 WALDEMERE ST STE 705
SARASOTA, FL 34239
Nurse Practitioner (Acute Care)
1921 WALDEMERE ST STE 705
SARASOTA, FL 34239
Internal Medicine (Pulmonary Disease)
1921 WALDEMERE ST STE 705
SARASOTA, FL 34239

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 Amit Shah's NPI number?

The NPI number for Amit Shah is 1437440112. It was assigned to this individual provider in the NPPES registry on April 28, 2011.

Where is Amit Shah located?

Amit Shah practices at 1921 Waldemere St Ste 705, Sarasota, FL 34239. The listed phone number is (941) 366-5864.

What is Amit Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Amit Shah enrolled in Medicare?

Yes. Amit 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 Amit Shah accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Amit 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 Amit Shah affiliated with any hospitals?

According to CMS data, Amit Shah is affiliated with Sarasota Memorial Hospital, Desoto Memorial Hospital and Sarasota Memorial Hospital - Venice.

When was this NPI record last updated?

The NPPES record for Amit Shah was last updated on January 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.