CHANDRAKANT SHAH MD PA
NPI 1790940138
Clinic/Center - Primary Care in Miami, FL
About Chandrakant Shah Md Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHANDRAKANT SHAH MD PA (NPI 1790940138) is a healthcare organization registered as a primary care in Miami, Florida and active in the NPI registry since July 2008. The organization lists Chandrakant S Shad, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Chandrakant Shah Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Chandrakant Shah MD PA, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Chandrakant Shah MD PA's NPI number?
The NPI number for Chandrakant Shah MD PA is 1790940138. It was assigned to this organization in the NPPES registry on July 24, 2008.
Where is Chandrakant Shah MD PA located?
Chandrakant Shah MD PA is located at 13033 SW 112th St, Miami, FL 33186. The listed phone number is (305) 382-4901.
What is Chandrakant Shah MD PA's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Chandrakant Shah MD PA enrolled in Medicare?
Yes. Chandrakant Shah MD PA is registered in the Medicare PECOS enrollment system.
When is Chandrakant Shah MD PA's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Chandrakant Shah MD PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Practice) reassigns their Medicare billing to Chandrakant Shah MD PA. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Chandrakant Shah MD PA accept?
Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama and AvMed list Chandrakant Shah MD PA 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.
When was this NPI record last updated?
The NPPES record for Chandrakant Shah MD PA was last updated on August 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.
# Chandrakant Shah Md Pa · NPI 1790940138
Primary Care organization in Miami, Florida. Organization record, active in the CMS NPPES registry since July 24, 2008.
## Identity
- **NPI:** 1790940138 (Entity type: Organization)
- **Enumerated:** July 24, 2008
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Chandrakant Shad, PRESIDENT
## Practice location
- **Address:** 13033 SW 112TH ST, Miami, FL 33186-4601
- **Phone:** (305) 382-4901 · **Fax:** (305) 382-4502
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Florida, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (General Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 26, 2008
- **Other identifiers:** Other 14792 (FL); Medicaid 058773703 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1790940138) · Data from the CMS NPPES public registry.