DR. SAGAR AJAY SHAH (DPM) – Podiatrist, NPI 1609254473

DR. SAGAR AJAY SHAH (DPM) is a healthcare provider. based in Lutz, Florida. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. PO4350 (FL). The NPI Number for DR. SAGAR AJAY SHAH (DPM) is 1609254473

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
DR. SAGAR AJAY SHAH (DPM)
NPI
1609254473
Phone
(813) 549-5678
Address
1005 Dale Mabry Hwy
Enumeration Date
13 May 2015
Last Update Date
10 March 2025

Doctor Profile

Medical School Name
TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8134990787
Graduation Year
2015 (11 years ago)
PAC ID
6709134448
Group Practice PAC ID
0042252140
Professional Enrollment ID
I20220120002373
Address ID
FL336264701TA10954RDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:11State licenses:1Digital endpointsOther names

1,444 PODIATRY in FL

Provider Addresses for DR. SAGAR AJAY SHAH (DPM)

  • 1005 Dale Mabry Hwy

    Lutz, FL 335483021

    Phone: (813) 549-5678

    Fax: (813) 701-9132

    Type: Location

  • 1465 JOHNSTON WILLIS DR

    NORTH CHESTERFIELD, VA 232354730

    Phone: (804) 320-3668

    Type: Mailing

  • 15815 SHADDOCK DR STE 130

    WINTER GARDEN, FL 347875773

    Phone: (813) 400-1140

    Fax: (813) 701-9132

    Type: Mailing

  • 10954 SHELDON RD

    TAMPA, FL 336264701

    Phone: (813) 499-0787

    Fax: (813) 576-3883

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 21 Open Payments records for all available years, with a total value of $2,614.

Total Amount is formed as General ($2,614) + Research ($0) + Ownership ($0) = $2,614.

Last reported payment date: 2024-07-29 • Largest payer in this snapshot: Stryker Corporation ($1,914).

Total Amount

$2,614

General + Research + Ownership

Payments

21

Total payment records

General Amount

$2,614

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-29

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: 2022-01-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20220120002373IPodiatryFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
11721Removal of fingernails or toenails, 6 or more nails10848$0
99214Established patient office or other outpatient visit, 30-39 minutes9155$0
73630X-ray of foot, minimum of 3 views8253$0
11056Removal of noncancer thickened skin growth, 2-4 growths8031$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg7614$0
View full utilization report →

Insurance plans in this area (ZIP 33548)

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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: 0042252140View full group profile
NameSpecialtyState
P O D I A T R YMI
P O D I A T R YNJ
P O D I A T R YFL
P O D I A T R YFL
P O D I A T R YFL
P O D I A T R YFL
P O D I A T R YKY
P O D I A T R YFL
P O D I A T R YFL
Physical Therapist In Private PracticeFL

Reviews

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Frequently asked questions

How is DR. SAGAR AJAY SHAH (DPM) identified in CMS data?
CMS-hosted NPPES data lists DR. SAGAR AJAY SHAH (DPM) with NPI 1609254473.
Is DR. SAGAR AJAY SHAH (DPM) listed as active for patients and plans?
The listing shows DR. SAGAR AJAY SHAH (DPM) as active in the NPI system.
What healthcare role does DR. SAGAR AJAY SHAH (DPM) hold?
Scheduling teams often label DR. SAGAR AJAY SHAH (DPM) under Podiatrist. Clinical services aligned with this taxonomy classification.
What address line appears for DR. SAGAR AJAY SHAH (DPM)?
DR. SAGAR AJAY SHAH (DPM)'s geographic hint is Lutz, Florida in our summary view.
Is the information about DR. SAGAR AJAY SHAH (DPM) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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