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Dr. Samir Shah , DO

Internal Medicine β€’ Jacksonville, FL

Active NPI 1104563790 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

3625 University Blvd S
Jacksonville, FL 322164207

Call 9047026111 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3625 University Blvd S

Jacksonville, FL 322164207

Telephone 9047026111
Organization at the Same NPPES Address or Phone
Anesthesia Consultants Pa Facility NPI 1346240066

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 2 distinct group names: Inpatient Consultants Of Florida, Inc; Refined Medical Group Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2022

30-day fills

30 standardized 30-day fills in 2023

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$342 in 2023

The total cost of these prescriptions in 2023, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2023.

Open Payments general payments, program year 2024

All general payments: $139.64 across 2 records.

By nature of payment

  • Food and Beverage: $139.64 across 2 records.

Reporting-company totals

  • AstraZeneca Pharmaceuticals LP: $123.90 across 1 record.
  • UCB, Inc.: $15.74 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2024 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

4 years (graduated 2022)

CMS Doctors and Clinicians data list 2022 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Shah has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Shah as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Jacksonville and Florida

Billing and prescribing volume is not a quality rating.

Medicare Part D

Comparisons use 2024 data. The latest CMS data for Dr. Shah are from 2023.

546 active clinicians are listed under Internal Medicine with a practice address in Jacksonville, FL (10,165 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Jacksonville

20.1% of these 546 clinicians have the CMS telehealth indicator.

48.5% of these 546 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Part D Prescribers (2023), CMS Open Payments (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2024
Disclosure Year:

Program year 2024 (payments made January 1 – December 31, 2024): fewer than 11 records totaling $139.64.

Manufacturer Payment Nature Product Type Amount ($)
AstraZeneca Pharmaceuticals LP
Food and Beverage
In-kind items and services
AIRSUPRA General $123.90
UCB, Inc.
Food and Beverage
In-kind items and services
Bimzelx General $15.74

Source: CMS Open Payments, program year 2024, released June 30, 2026.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2023.

CMS Part D Β· Data Year 2023
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Atorvastatin Calcium Atorvastatin Calcium 12 540 $126.28 β€”
Bisoprolol-Hydrochlorothiazide Bisoprolol/Hydrochlorothiazide 12 360 $215.76 β€”

Source: CMS Part D by Provider and Drug, 2023; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-01-28
Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

License # reported to NPPES FL S000-791-95-288-0

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - INTERNAL MEDICINE

Medicare Enrollment ID

I20250910003658

Enrollment State Jurisdiction

FL

PECOS Control ID

4587167184

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Refined Medical Group Llc

15255 Max Leggett Pkwy, Jacksonville, FL 322187273

Phone: 9042810944

Inpatient Consultants Of Florida, Inc

12645 Salina Dr, Jacksonville, FL 322462291

Phone: 9047878150

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

35 listed
Dr. Christopher Ackerson , DNP CRNA

Nurse Anesthetist, Certified Registered

NPI 1598425845

DNPCRNA

Dr. Amy Amornmarn , MD

Internal Medicine

NPI 1033679923

Doctor of Medicine (M.D.)

Dr. Renato Blanco , MD

Internal Medicine - Critical Care Medicine

NPI 1588077804

Doctor of Medicine (M.D.)

Dr. Michael Bowen , DNP, CRNA

Nurse Anesthetist, Certified Registered

NPI 1265146435

Doctor of Nursing Practice, Certified Registered Nurse Anesthetist

Dr. Brandon Bowers , DO

Emergency Medicine

NPI 1699302570

Doctor of Osteopathic Medicine (D.O.)

Dr. Ronald Brace , MD

Emergency Medicine

NPI 1376504530

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location January 28, 2026

Registered at 3625 UNIVERSITY BLVD S, JACKSONVILLE, FL 322164207 (Tel: 9047026111)

πŸ“
Updated Business Mailing Address January 28, 2026

Registered at 3625 UNIVERSITY BLVD S, JACKSONVILLE, FL 322164207 (Tel: 9047026111)

πŸ“
Updated Business Mailing Address April 12, 2023

Registered at 600 ROE AVE, ELMIRA, NY 149051629 (Tel: 6077374100)

βœ…
NPI Profile Active May 16, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 16, 2022

Registered at 600 ROE AVE, ELMIRA, NY 149051629 (Tel: 6077374100)

πŸ“
Business Mailing Address (Initial Record) May 16, 2022

Registered at 100 W WATER ST APT 305, ELMIRA, NY 149013011 (Tel: 9047086621)

πŸ‘€
Provider Name / Credentials (Initial Record) May 16, 2022

Recorded as SAMIR SHAH, DO

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 16, 2022

Internal Medicine (license number reported to NPPES: FL S000-791-95-288-0)

🟒
Initial NPI Registration & Enumeration May 16, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1104563790
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 16, 2022
Last Update: January 28, 2026
Sole Proprietor: No

Other Internal Medicine Providers in Jacksonville

All Internal Medicine Providers in Jacksonville

Mailing Address

3625 University Blvd S

Jacksonville, FL 322164207

Phone: 9047026111

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.