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DR. SIDDHARAJ GAUTAM SHAH M.D.
NPI 1700128758
Internal Medicine in Orlando, FL

Active since March 17, 2013PECOS EnrolledAccepts Medicare Assignment
86 W UNDERWOOD ST, MP 80, ORLANDO, FL 32806(888) 912-3648(321) 841-4085 Get Directions Write a Review

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

Record update history: Apr 22, 2026, Nov 17, 2016 (2 updates tracked since 2016).

About Dr. Siddharaj Gautam Shah M.d. NPPES

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

DR. SIDDHARAJ GAUTAM SHAH M.D. (NPI 1700128758) is an individual internal medicine provider in Orlando, Florida, licensed in Florida (ME127548) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS, is affiliated with Orlando Health, and maintains a secondary practice location in Orlando.

NPPES Registry Identity

NPI1700128758
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. SIDDHARAJ GAUTAM SHAHCredential: M.D.
Location Address86 W UNDERWOOD ST, MP 80Orlando, FL 32806-2008
Mailing Address380 Rinehart RdLake Mary, FL 32746-2551 · (321) 842-2994 · Fax (321) 842-1852
Phone(888) 912-3648
Fax(321) 841-4085
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMarch 17, 2013
Last NPPES UpdateApril 22, 20262 updates tracked since enumeration
NPPES CertifiedApril 22, 2026
✔ NPI 1700128758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME127548
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
86 W UNDERWOOD ST, Orlando, FL 32806
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Secondary Practice Location 1

Location 1102 W Pineloch Ave Ste 23Orlando, FL 32806-6100 · Phone (407) 852-2760 · Fax (321) 843-6729

Other Identifiers 2

OtherME127548FL · Medical License
Medicaid017556400FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.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. Siddharaj Gautam 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 ID547401226
PECOS Enrollment IDI20160701000027
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 3

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 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.
51 services35 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
30 services29 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.
21 services14 patients

Hospital Affiliations CMS Care Compare 3

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

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

Orlando Health St Cloud Hospital

Acute Care Hospitals · Saint Cloud, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100302
Location2906 17th StreetSaint Cloud, FL 34769 · Osceola 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
$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.

Referred Medical Equipment & Supplies CMS DME claims

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

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$208.54 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.

MR. HENG CHAI LAI ARNP
Nurse Practitioner (Adult Health)
86 W UNDERWOOD ST
ORLANDO, FL 32806
Orange County (321) 843-5270
STEVEN D. BEESLEY M.D.
Radiology (Diagnostic Radiology)
86 W UNDERWOOD ST, SUITE 201, 2ND FLOOR
ORLANDO, FL 32806
Orange County (321) 841-5142
DR. GLORIA MAVEL VELASQUEZ CASTANO M.D.
Internal Medicine
86 W UNDERWOOD ST
ORLANDO, FL 32806
Orange County (888) 912-3648
BENJAMIN Y. DAUD AGUERO M.D.
Internal Medicine
86 W UNDERWOOD ST, MP 80
ORLANDO, FL 32806
Orange County (888) 912-3648
DR. VISHNU PRIYA REDDY NANGA M.D.
Internal Medicine
86 W UNDERWOOD ST
ORLANDO, FL 32806
Orange County (888) 912-3648
DR. STEVE WAHEL HILWA MD
Emergency Medicine
86 W UNDERWOOD ST, SUITE 200
ORLANDO, FL 32806
Orange County (407) 237-6329
PIERRE FOTSO M.D.
Internal Medicine
86 W UNDERWOOD ST, MP 80
ORLANDO, FL 32806
Orange County (888) 912-3648
KEVIN MICHAEL BUTENSCHOEN NP-C
Nurse Practitioner
86 W UNDERWOOD ST
ORLANDO, FL 32806
Orange County (321) 843-5270

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 Siddharaj Shah's NPI number?

The NPI number for Siddharaj Shah is 1700128758. It was assigned to this individual provider in the NPPES registry on March 17, 2013.

Where is Siddharaj Shah located?

Siddharaj Shah practices at 86 W Underwood St Mp 80, Orlando, FL 32806. The listed phone number is (888) 912-3648.

What is Siddharaj Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Siddharaj Shah enrolled in Medicare?

Yes. Siddharaj 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 Siddharaj Shah accept?

Health plans from AvMed list Siddharaj 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 Siddharaj Shah affiliated with any hospitals?

According to CMS data, Siddharaj Shah is affiliated with Orlando Health, Orlando Health South Lake Hospital and Orlando Health St Cloud Hospital.

When was this NPI record last updated?

The NPPES record for Siddharaj Shah was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.