DR. CHETAN CHANDULAL SHAH (M.B.B.S) – Pediatric Radiology Physician, NPI 1346446911
Pediatric Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,168 DIAGNOSTIC RADIOLOGY in FL
Provider Addresses for DR. CHETAN CHANDULAL SHAH (M.B.B.S)
807 Childrens Way
Jacksonville, FL 322078426
Phone: (904) 697-3694
Fax: (904) 697-3927
Type: Location
Nemours Children's Specialty Care, 807, Childrens Way, Jacksonville, Duval County, Florida, 32207, United States
JACKSONVILLE, FL 322078426
Phone: (904) 697-3694
Fax: (904) 697-3927
Type: Location
1600 SW ARCHER RD
GAINESVILLE, FL 326108426
Phone: (352) 265-0291
Fax: (352) 265-0279
Type: Location
Lowe's, 191, Porters Neck Road, Kirkland, Wilmington, New Hanover County, North Carolina, 28411, United States
WILMINGTON, DE 197320191
Phone: (302) 298-7371
Fax: (302) 651-4945
Type: Mailing
PO BOX 100374
GAINESVILLE, FL 326100374
Phone: (352) 265-0291
Fax: (352) 265-0279
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $6,464.
Total Amount is formed as General ($6,464) + Research ($0) + Ownership ($0) = $6,464.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Hyperfine Operations, Inc. ($5,493).
Total Amount
$6,464
General + Research + Ownership
Payments
13
Total payment records
General Amount
$6,464
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Hyperfine Operations, Inc. | $5,493 |
| Siemens Medical Solutions USA, Inc. | $971 |
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: 2015-01-22
PECOS data refreshed: 2026-05-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080812000834 | I | Diagnostic Radiology | AR | TBD |
| I20150122001279 | I | Diagnostic Radiology | FL | TBD |
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.
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 32207)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| - | MN | |
| Physician Assistant | FL | |
| Diagnostic Radiology | FL | |
| Internal Medicine | FL | |
| - | FL | |
| Clinical Psychologist | FL | |
| U R O L O G Y | FL | |
| - | FL | |
| Nurse Practitioner | FL |
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