HARDIK SHAH (MD, MPH) – Gastroenterology Physician, NPI 1043766702

HARDIK SHAH (MD, MPH) is a healthcare provider. based in Jacksonville, Florida. specializing in GASTROENTEROLOGY. They hold the professional credentials MD, MPH. They hold a License No. ME163340 (FL). The NPI Number for HARDIK SHAH (MD, MPH) is 1043766702

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
HARDIK SHAH (MD, MPH)
NPI
1043766702
Phone
(904) 398-7205
Address
4800 BELFORT RD
Enumeration Date
31 August 2016
Last Update Date
20 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3867881242
Graduation Year
2010 (16 years ago)
PAC ID
7214396738
Group Practice PAC ID
6507761301
Professional Enrollment ID
I20240604000103
Address ID
FL321292349PO3635XBLVD504
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

1,484 GASTROENTEROLOGY in FL

Provider Addresses for HARDIK SHAH (MD, MPH)

  • 4800 BELFORT RD

    JACKSONVILLE, FL 322566004

    Phone: (904) 398-7205

    Type: Mailing

  • 3635 CLYDE MORRIS BLVD STE 100

    PORT ORANGE, FL 321292349

    Phone: (386) 788-1242

    Type: Location

  • Saint Michael's Medical Center, 111, Central Avenue, Newark, Essex County, New Jersey, 07102, United States

    NEWARK, NJ 071021909

    Phone: (862) 812-5547

    Type: Location

  • 305 Clyde Morris Blvd Ste 270

    Ormond Beach, FL 321748182

    Phone: (386) 788-1242

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 32 Open Payments records for all available years, with a total value of $2,350.

Total Amount is formed as General ($2,350) + Research ($0) + Ownership ($0) = $2,350.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Boston Scientific Corporation ($1,665).

Total Amount

$2,350

General + Research + Ownership

Payments

32

Total payment records

General Amount

$2,350

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-06-04

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230630002222IGastroenterologyPATBD
I20240604000103IGastroenterologyFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32256)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6507761301View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YFL
P A T H O L O G YFL
Gastroenterology, Internal MedicineFL
Gastroenterology, Internal MedicineFL
G A S T R O E N T E R O L O G YFL
Internal Medicine, GastroenterologyFL
Internal Medicine, GastroenterologyFL
Nurse PractitionerFL
Nurse PractitionerFL
-FL

Reviews

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Frequently asked questions

What federal number belongs to HARDIK SHAH (MD, MPH)?
The federal identifier for HARDIK SHAH (MD, MPH) is NPI 1043766702.
Does this profile mean HARDIK SHAH (MD, MPH) is currently active?
Yes — HARDIK SHAH (MD, MPH) appears active in the national provider directory.
What does HARDIK SHAH (MD, MPH) treat or focus on?
Patients typically see HARDIK SHAH (MD, MPH) under the specialty Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
Where is HARDIK SHAH (MD, MPH)'s primary listing?
We display Jacksonville, Florida because that is what the record indicates for HARDIK SHAH (MD, MPH).
How can I contact HARDIK SHAH (MD, MPH)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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