MR. DIPAM JASHWANT SHAH AA
NPI 1760985782
Anesthesiologist Assistant in Jacksonville, FL

Q: 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.

Q: What is Dipam Shah's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Q: When was this NPI record last updated?

The NPPES record for Dipam Shah was last updated on March 27, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 15, 2018Accepts Medicare Assignment

2165 HERSCHEL ST, JACKSONVILLE, FL 32204(904) 387-4030 Get Directions Write a Review

NPPES record last updated: March 27, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 27, 2025, Mar 15, 2018 (2 updates tracked since 2018).

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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

NPI1760985782

Entity TypeIndividualMale

Primary Taxonomy367H00000X

Provider Legal NameMR. DIPAM JASHWANT SHAHCredential: AA

Location Address2165 HERSCHEL STJacksonville, FL 32204-3819

Mailing Address11212 Engineering WayJacksonville, FL 32256-8195 · (904) 536-6456

Phone(904) 387-4030

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateMarch 15, 2018

Last NPPES UpdateMarch 27, 20252 updates tracked since enumeration

NPPES CertifiedMarch 27, 2025

✔ NPI 1760985782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367H00000X

License✔ Licensed in FL · AA437

Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

Also ListedAnesthesiologyTaxonomy 207L00000X · License AA437 (FL)

2165 HERSCHEL ST, Jacksonville, FL 32204

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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

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.

PECOS PAC ID8921369810

PECOS Enrollment IDI20180312001211

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.

Anesthesia for procedure for total knee joint replacement 01402

Anesthesia for a total knee joint replacement numbs your body to eliminate pain during surgery. This could be general anesthesia where you're unconscious, or regional anesthesia where only the leg is numb. It's administered by a specialist, ensuring safety and comfort.

27 services27 patients

Anesthesia for extensive surgery on spine 00670

Anesthesia for extensive spine surgery involves medication to block pain and make you unconscious during the procedure. It ensures comfort and prevents movement. Two types may be used: general (you sleep) or regional (numbs a large area). The choice depends on the surgery specifics and your health.

18 services18 patients

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, FL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100040

Location1 Shircliff WayJacksonville, FL 32204 · Duval County

Emergency services

Ascension St Vincent's Southside

Acute Care Hospitals · Jacksonville, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100307

Location4201 Belfort RdJacksonville, FL 32216 · Duval County

Emergency services Birthing friendly

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.

DR. CHRIS JOHN KANE D.O.

Anesthesiology