DR. PARUL V. SHAH MD
NPI 1508842329
Pediatrics - Neonatal-Perinatal Medicine in Coral Gables, FL
NPI Status: Active since December 22, 2005
Contact Information
5955 PONCE DE LEON BLVD.
CORAL GABLES, FL
ZIP 33146
Phone: (305) 661-1515
Fax: (305) 662-3723
- Individual
- Female
- Pediatrics
- Neonatal-Perinatal Medicine
- Accepts Insurance
- PECOS Enrolled
- Opted-Out Medicare
About PARUL SHAH
This page provides the complete NPI Profile along with additional information for Parul Shah, a pediatrician established in Coral Gables, Florida with a medical specialization in Pediatrics, focusing in neonatal-perinatal medicine . The healthcare provider is registered in the NPI registry with number 1508842329 assigned on December 2005. The practitioner's primary taxonomy code is 2080N0001X with license number ME92664 (FL). The provider is registered as an individual and her NPI record was last updated 14 years ago.
- NPI
- 1508842329
- Provider Name
- DR. PARUL V. SHAH MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 5955 PONCE DE LEON BLVD. CORAL GABLES, FL 33146
- Location Phone
- (305) 661-1515
- Location Fax
- (305) 662-3723
- Mailing Address
- 5955 PONCE DE LEON BLVD. CORAL GABLES, FL 33146
- Mailing Phone
- (305) 661-1515
- Mailing Fax
- (305) 662-3723
- Is Sole Proprietor?
- No
- Enumeration Date
- 12-22-2005
- Last Update Date
- 07-19-2011
- Code Navigator
A pediatrician like Parul Shah is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Parul Shah opted out of Medicare effective on 04-01-2014 until 04-01-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics Neonatal-Perinatal Medicine
- Taxonomy Code
- 2080N0001X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- ME92664
- License State
- FL
- Taxonomy Description
- A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | ME92664 (FL) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Connect Bronze 0 Indiv Med Deductible - EPO
- Connect Bronze 5500 Indiv Med Deductible - EPO
- Connect Bronze 6500 Indiv Med Deductible Enhanced Diabetes Care - EPO
- Connect Bronze CMS Standard - EPO
- Connect Gold 2000 Indiv Med Deductible - EPO
- Connect Gold 800 Indiv Med Deductible - EPO
- Connect Gold CMS Standard - EPO
- Connect Silver 3600 Indiv Med Deductible - EPO
- Connect Silver 4300 Indiv Med Deductible - EPO
- Connect Silver CMS Standard - EPO
- Bronze 4 - HMO
- Bronze 8 - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
- Silver 9 - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 138746 | MEDICARE UPIN (02) | FL | |
| 272794300 | MEDICAID (05) | FL | |
| 272794301 | MEDICAID (05) | FL | |
| 16254 | OTHER (01) | FL | BLUE CROSS BLUE SHIELD |
Medicare Participation & PECOS Enrollment Status
Parul Shah is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 04-01-2014
Opt-Out End Date: 04-01-2026
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Reviews for DR. PARUL V. SHAH MD
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 0 | 8 | 8 | 4 | 2 | 3 | 2 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 0 | 8 | 16 | 4 | 4 | 3 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 0 + 8 + 1 + 6 + 4 + 4 + 3 + 4 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1508842329 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 19 providers are registered at the same or nearby location.
DR. PRAKASH DIPTEE MD
Pediatrics
(Pediatric Emergency Medicine)
5955 PONCE DE LEON BLVD.
CORAL GABLES, FL
ZIP 33146
DR. NEIL MICHAEL KANTOR DO
Pediatrics
(Neonatal-Perinatal Medicine)
5955 PONCE DE LEON BLVD.
CORAL GABLES, FL
ZIP 33146
SUDHIRA KULATUNGA MD
Pediatrics
5955 PONCE DE LEON BLVD.
CORAL GABLES, FL
ZIP 33146
DR. SHILPA KADAM MD
Pediatrics
(Neonatal-Perinatal Medicine)
5955 PONCE DE LEON BLVD.
CORAL GABLES, FL
ZIP 33146
OSVALDO PLANCHE UTRIA MD
Pediatrics
5955 PONCE DE LEON BLVD.
CORAL GABLES, FL
ZIP 33146
DR. LUIS F. MIRANDA MD
Pediatrics
(Neonatal-Perinatal Medicine)
5955 PONCE DE LEON BLVD.
CORAL GABLES, FL
ZIP 33146
DR. STEVEN E. SCHULTZ M.D.
Pediatrics
(Pediatric Critical Care Medicine)
5955 PONCE DE LEON BLVD.
CORAL GABLES, FL
ZIP 33146
MARIA L. KOBY ARNP
Nurse Practitioner
(Neonatal)
5955 PONCE DE LEON BLVD.
CORAL GABLES, FL
ZIP 33146
MARIA F. FAJARDO M.D.
Pediatrics
(Neonatal-Perinatal Medicine)
5955 PONCE DE LEON BLVD.
CORAL GABLES, FL
ZIP 33146
DR. CAROLINE COLLADO M.D.
Pediatrics
(Pediatric Emergency Medicine)
5955 PONCE DE LEON BLVD.
CORAL GABLES, FL
ZIP 33146
DR. ALFREDO T. CASTELLANOS M.D.
Pediatrics
(Pediatric Critical Care Medicine)
5955 PONCE DE LEON BLVD.
CORAL GABLES, FL
ZIP 33146
MR. EARL E. GABB M.D.
Obstetrics & Gynecology
5955 PONCE DE LEON BLVD.
CORAL GABLES, FL
ZIP 33146
DR. MARIA MIRAZ M.D.
Obstetrics & Gynecology
5955 PONCE DE LEON BLVD.
CORAL GABLES, FL
ZIP 33146
DR. ROBY N MARSAN MD
Pediatrics
(Pediatric Emergency Medicine)
5955 PONCE DE LEON BLVD.
CORAL GABLES, FL
ZIP 33146
RENU R RAVI M.D.
Pediatrics
5955 PONCE DE LEON BLVD.
CORAL GABLES, FL
ZIP 33146
DR. ALESSANDRO ACOSTA M.D.
Pediatrics
(Neonatal-Perinatal Medicine)
5955 PONCE DE LEON BLVD.
CORAL GABLES, FL
ZIP 33146
TARA DANIELLE HARRIS MD
Hospitalist
5955 PONCE DE LEON BLVD.
CORAL GABLES, FL
ZIP 33146
JORGE N. HERNANDEZ M.D.
Pediatrics
(Pediatric Critical Care Medicine)
5955 PONCE DE LEON BLVD.
CORAL GABLES, FL
ZIP 33146
CATHERINE A. LOVE M.D.
Pediatrics
(Neonatal-Perinatal Medicine)
5955 PONCE DE LEON BLVD.
CORAL GABLES, FL
ZIP 33146
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1508842329, enumerated as an "individual" on December 22, 2005.
The provider is located at 5955 PONCE DE LEON BLVD. CORAL GABLES, FL 33146 and the phone number is (305) 661-1515.
Pediatrics with taxonomy code 2080N0001X and a focus in Neonatal-Perinatal Medicine.
The provider might be accepting Accepts: Cigna Healthcare, Molina Healthcare, Medicare,. Please consult your insurance carrier or call the provider to verify.
