JAINAM RUCHIR SHAH
NPI 1811735103
Anesthesiologist Assistant in Jacksonville, FL

Active since July 19, 2024Accepts Medicare Assignment
1 SHIRCLIFF WAY, JACKSONVILLE, FL 32204(904) 308-7300 Get Directions Write a Review

NPPES record last updated: October 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jainam Ruchir Shah NPPES

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

JAINAM RUCHIR SHAH (NPI 1811735103) is an individual anesthesiologist assistant in Jacksonville, Florida, licensed in Florida (AA1003) and active in the NPI registry since July 2024. He is affiliated with Ascension St Vincent's Riverside and is a graduate of Other (2024).

NPPES Registry Identity

NPI1811735103
Entity TypeIndividualMale
Primary Taxonomy367H00000X
Provider Legal NameJAINAM RUCHIR SHAH
Location Address1 SHIRCLIFF WAYJacksonville, FL 32204-4748
Mailing Address1 Shircliff WayJacksonville, FL 32204-4748
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 19, 2024
Last NPPES UpdateOctober 15, 2025
NPPES CertifiedOctober 15, 2025
NPI 1811735103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
License Licensed in FL · AA1003
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.
1 SHIRCLIFF WAY, Jacksonville, FL 32204

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Jainam Ruchir Shah 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 ID2264964865
PECOS Enrollment IDI20241021004423

Hospital Affiliations CMS Care Compare 4

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

Broward Health Imperial Point

Acute Care Hospitals · Fort Lauderdale, FL
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100200
Location6401 N Federal HwyFort Lauderdale, FL 33308 · Broward County

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

Ascension St Vincent's Clay County

Acute Care Hospitals · Middleburg, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100321
Location1670 St Vincents WayMiddleburg, FL 32068 · Clay 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.

Surgery
1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
Nurse Anesthetist, Certified Registered
1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
Nurse Practitioner (Critical Care Medicine)
1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
Emergency Medicine (Emergency Medical Services)
1 SHIRCLIFF WAY, EMERGENCY DEPARTMENT
JACKSONVILLE, FL 32204
Nurse Anesthetist, Certified Registered
1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
Emergency Medicine
1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
Emergency Medicine (Emergency Medical Services)
1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
Radiology (Diagnostic Radiology)
1 SHIRCLIFF WAY
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 Jainam Shah's NPI number?

The NPI number for Jainam Shah is 1811735103. It was assigned to this individual provider in the NPPES registry on July 19, 2024.

Where is Jainam Shah located?

Jainam Shah practices at 1 Shircliff Way, Jacksonville, FL 32204. The listed phone number is (904) 308-7300.

What is Jainam Shah's specialty?

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

Is Jainam Shah enrolled in Medicare?

Yes. Jainam 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.

Is Jainam Shah affiliated with any hospitals?

According to CMS data, Jainam Shah is affiliated with Ascension St Vincent's Riverside, Broward Health Imperial Point, Ascension St Vincent's Southside and Ascension St Vincent's Clay County.

When was this NPI record last updated?

The NPPES record for Jainam Shah was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.