MR. DIPAM JASHWANT SHAH AA
NPI 1760985782
Anesthesiologist Assistant in Jacksonville, FL
About Mr. Dipam Jashwant Shah Aa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. DIPAM JASHWANT SHAH AA (NPI 1760985782) is an individual anesthesiologist assistant in Jacksonville, Florida, licensed in Florida (AA437) and active in the NPI registry since March 2018. He is affiliated with Ascension St Vincent's Riverside and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Dipam Jashwant Shah Aa 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.
Medicare Billing Reassignment
Medicare enrollment records show Dipam Shah reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Jacksonville, FL 32204
- Reassigned Medicare billing, Florida enrollment
- 177 clinicians in this Medicare group
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 2
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ascension St Vincent's Riverside
Acute Care Hospitals · Jacksonville, FLAscension St Vincent's Southside
Acute Care Hospitals · Jacksonville, FLOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JACKSONVILLE, FL 32204
JACKSONVILLE, FL 32204
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 Dipam Shah's NPI number?
The NPI number for Dipam Shah is 1760985782. It was assigned to this individual provider in the NPPES registry on March 15, 2018.
Where is Dipam Shah located?
Dipam Shah practices at 2165 Herschel St, Jacksonville, FL 32204. The listed phone number is (904) 387-4030.
What is Dipam Shah's specialty?
The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.
Is Dipam Shah enrolled in Medicare?
Yes. Dipam 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.
Which organization bills Medicare for Dipam Shah's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dipam Shah reassigns Medicare benefits to North Florida Anesthesia Consultants Inc (Jacksonville, 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 Dipam Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Dipam Shah accept?
Health plans from Cigna HealthCare of Florida, Inc. and Cigna Healthcare list Dipam 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 Dipam Shah affiliated with any hospitals?
According to CMS data, Dipam Shah is affiliated with Ascension St Vincent's Riverside and Ascension St Vincent's Southside.
When was this NPI record last updated?
The NPPES record for Dipam Shah was last updated on March 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Mr. Dipam Jashwant Shah, AA · NPI 1760985782
Anesthesiologist Assistant physician in Jacksonville, Florida. Individual provider, active in the CMS NPPES registry since March 15, 2018.
## Identity
- **NPI:** 1760985782 (Entity type: Individual)
- **Enumerated:** March 15, 2018
- **Primary specialty:** Anesthesiologist Assistant · taxonomy 367H00000X
- **State license:** AA437 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 2165 HERSCHEL ST, Jacksonville, FL 32204-3819
- **Phone:** (904) 387-4030
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** North Florida Anesthesia Consultants Inc (NPI 1255009296, Jacksonville, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** March 27, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1760985782) · Data from the CMS NPPES public registry.