DR. CHANDRAKANT SHAH M.D. NPI 1073689634

NPI Information

  • NPI: 1073689634
  • Provider Name: DR. CHANDRAKANT SHAH, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • CLIA Number: 10D2146952
  • Address: 13033 SW 112TH ST
    MIAMI, FL
    ZIP 33186
  • Phone: (305) 382-4901

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NPI Details

DR. Chandrakant Shah, M.D. is a family medicine in Miami, FL with 41 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Chandrakant Shah, M.D. NPI is 1073689634. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

13033 SW 112TH ST
MIAMI, FL
ZIP 33186-601
Phone: (305) 382-4901
Fax: (305) 487-7280

The NPI 1073689634 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 10D2146952 - physician office with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Professional service for preparation and provision of 1 or more antigens (HCPCS:95165)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Test for allergy using allergenic extract (HCPCS:95004)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Smoking and tobacco use intensive counseling, more than 10 minutes (HCPCS:99407)
  • Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes (HCPCS:G0446)
  • Face-to-face behavioral counseling for obesity, 15 minutes (HCPCS:G0447)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Annual depression screening, 15 minutes (HCPCS:G0444)

The enumeration date for this NPI number is 11/27/2006 and was last updated on 3/12/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineME 61676FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
114792MEDICARE ID-TYPE UNSPECIFIEDFLORIDA
2058773700MEDICAIDFLORIDA
3F 30689MEDICARE UPINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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