SEAN SHAHLA (MD) – Internal Medicine Physician, NPI 1801884119

SEAN SHAHLA (MD) is a healthcare provider. based in Jacksonville, Florida. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. ME0071346 (FL). The NPI Number for SEAN SHAHLA (MD) is 1801884119

Main info

Male
Sole Proprietor
40 Years Of Experience
Accepts Medicare Assignment
Name
SEAN SHAHLA (MD)
NPI
1801884119
Phone
(904) 396-0077
Address
3599 UNIVERSITY BLVD S STE 404
Enumeration Date
11 October 2005
Last Update Date
17 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9042493820
Graduation Year
1986 (40 years ago)
PAC ID
2062685977
Group Practice PAC ID
3870766819
Professional Enrollment ID
I20111109000064
Address ID
FL322503445JA1141XBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

12,378 INTERNAL MEDICINE in FL

Provider Addresses for SEAN SHAHLA (MD)

  • 3599 UNIVERSITY BLVD S STE 404

    JACKSONVILLE, FL 322164232

    Phone: (904) 396-0077

    Fax: (904) 396-0733

    Type: Mailing

  • 1141, Beach Boulevard, Jacksonville Beach, Duval County, Florida, 32250, United States

    JACKSONVILLE, FL 322503445

    Phone: (904) 249-3820

    Fax: (904) 249-3390

    Type: Mailing

  • Beach Boulevard, Jacksonville Beach, Duval County, Florida, United States

    JACKSONVILLE BEACH, FL 322503445

    Phone: (904) 249-3820

    Fax: (904) 249-3390

    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 $472.

Total Amount is formed as General ($472) + Research ($0) + Ownership ($0) = $472.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($229).

Total Amount

$472

General + Research + Ownership

Payments

21

Total payment records

General Amount

$472

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

Latest reported date

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: 2011-11-09

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
I20111109000064IInternal MedicineFLTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes16995$0
99213Established patient office or other outpatient visit, 20-29 minutes11177$0
99497Advance care planning, first 30 minutes8079$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit7878$0
G0444Annual depression screening, 5 to 15 minutes5252$0
View full utilization report →

Insurance plans in this area (ZIP 32216)

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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: 3870766819View full group profile
NameSpecialtyState
Internal MedicineFL

Reviews

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Frequently asked questions

How is SEAN SHAHLA (MD) identified in CMS data?
CMS-hosted NPPES data lists SEAN SHAHLA (MD) with NPI 1801884119.
Is SEAN SHAHLA (MD) listed as active for patients and plans?
The listing shows SEAN SHAHLA (MD) as active in the NPI system.
What healthcare role does SEAN SHAHLA (MD) hold?
Scheduling teams often label SEAN SHAHLA (MD) under Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect SEAN SHAHLA (MD) on a map?
Expect Jacksonville, Florida as a primary anchor for SEAN SHAHLA (MD) unless the record lists multiple sites.
Is the information about SEAN SHAHLA (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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