NEENAD MAHENDRA SHAH (MD) – Radiation Oncology Physician, NPI 1922000751

NEENAD MAHENDRA SHAH (MD) is a healthcare provider. based in St augustine, Florida. specializing in RADIATION ONCOLOGY. They hold the professional credentials MD. They hold a License No. ME90197 (FL). The NPI Number for NEENAD MAHENDRA SHAH (MD) is 1922000751

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
NEENAD MAHENDRA SHAH (MD)
NPI
1922000751
Phone
(904) 824-5189
Address
300 HEALTH PARK BLVD
Enumeration Date
11 August 2005
Last Update Date
16 January 2026

Doctor Profile

Medical School Name
JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Secondary Phone
9042027300
Graduation Year
1997 (29 years ago)
PAC ID
1254392772
Group Practice PAC ID
5991932063
Professional Enrollment ID
I20041019000769
Address ID
FL322585469JA14546RDXX507
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

494 RADIATION ONCOLOGY in FL

Provider Addresses for NEENAD MAHENDRA SHAH (MD)

  • 300 HEALTH PARK BLVD

    SUITE 1008

    ST AUGUSTINE, FL 320863707

    Phone: (904) 824-5189

    Fax: (904) 824-9109

    Type: Location

  • 14546 Old Saint Augustine Rd Ste 104

    Jacksonville, FL 322585469

    Phone: (904) 271-6890

    Fax: (904) 202-2754

    Type: Location

  • PO BOX 746654

    ATLANTA, GA 303746654

    Phone: (904) 202-2092

    Fax: (904) 376-4075

    Type: Mailing

  • 2310 VILLAGE SQUARE PKWY STE 106C

    FLEMING ISLAND, FL 320036409

    Phone: (904) 202-7300

    Fax: (904) 202-2754

    Type: Location

  • 2234, Colonial Boulevard, Fort Myers, Lee County, Florida, 33907, United States

    ATTN: PAYER CONTRACTING & RELATIONS DEPT.

    FORT MYERS, FL 339071412

    Phone: (239) 931-7342

    Fax: (239) 931-7385

    Type: Mailing

  • 1301 Palm Ave Ste 100

    Jacksonville, FL 322078457

    Phone: (904) 202-7300

    Fax: (904) 202-2754

    Type: Location

  • 1301 PALM AVE

    JACKSONVILLE, FL 322078432

    Phone: (904) 202-7300

    Fax: (904) 202-2754

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2004-10-19

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
I20041019000769IRadiation OncologyFLTBD

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
77014Ct guidance for insertion of radiation therapy fields36174$0
77300Calculation of radiation therapy dose14535$0
77427Radiation treatment management, 5 treatment sessions13554$0
77334Design and construction of complex radiation treatment device9546$0
99213Established patient office or other outpatient visit, 20-29 minutes4836$0
View full utilization report →

Insurance plans in this area (ZIP 32086)

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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: 5991932063View full group profile

Reviews

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Frequently asked questions

How do I look up NEENAD MAHENDRA SHAH (MD) by NPI?
Use NPI 1922000751 when you need to reference NEENAD MAHENDRA SHAH (MD) in forms, claims, or directories.
Is NEENAD MAHENDRA SHAH (MD) active in the national directory?
NEENAD MAHENDRA SHAH (MD)'s public NPI profile is in an active state.
What field does NEENAD MAHENDRA SHAH (MD) work in?
You can think of NEENAD MAHENDRA SHAH (MD) as practicing within Radiation Oncology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for NEENAD MAHENDRA SHAH (MD)?
The page summarizes St Augustine, Florida for NEENAD MAHENDRA SHAH (MD); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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