SHIVA MAHINRAD (M.D.) – Internal Medicine Physician, NPI 1922093095
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
12,378 INTERNAL MEDICINE in FL
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Provider Addresses for SHIVA MAHINRAD (M.D.)
555, North Byron Butler Parkway, Perry, Taylor County, Florida, 32347, United States
PERRY, FL 323472315
Phone: (520) 223-5400
Fax: (850) 223-5401
Type: Mailing
2310 VILLAGE SQUARE PKWY STE 206
FLEMING ISLAND, FL 320036409
Phone: (904) 264-4405
Fax: (904) 391-5380
Type: Location
2839 Henley Road
Green Cove Springs, FL 32043
Phone: (904) 376-4950
Fax: (904) 618-2183
Type: Location
11236 BAPTIST HEALTH DR STE 220
JACKSONVILLE, FL 322182988
Phone: (904) 696-6900
Fax: (904) 390-7502
Type: Location
PO BOX 746638
ATLANTA, GA 303746638
Phone: (904) 202-1032
Fax: (904) 376-4107
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 86 Open Payments records for all available years, with a total value of $1,655.
Total Amount is formed as General ($1,655) + Research ($0) + Ownership ($0) = $1,655.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Novo Nordisk Inc ($216).
Total Amount
$1,655
General + Research + Ownership
Payments
86
Total payment records
General Amount
$1,655
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 |
|---|---|
| Novo Nordisk Inc | $216 |
| AstraZeneca Pharmaceuticals LP | $182 |
| Merck Sharp & Dohme LLC | $126 |
| GlaxoSmithKline, LLC. | $111 |
| PFIZER INC. | $109 |
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: 2005-07-14
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050714000234 | I | Internal Medicine | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 362 | 140 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 95 | 95 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 54 | 46 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 38 | 38 | $0 |
| G0008 | Administration of influenza virus vaccine | 37 | 37 | $0 |
Insurance plans in this area (ZIP 32347)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| EMERGENCY MEDICINE | FL | 90670 | Pneumococcal vaccine for injection into muscle | 53 | 53 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | FL | |
| H O S P I T A L I S T | UT | |
| - | UT | |
| Hospitalist, Internal Medicine | VA | |
| Internal Medicine | GA | |
| Family Practice | UT | |
| Hospitalist, Internal Medicine | FL | |
| H O S P I T A L I S T | UT | |
| R H E U M A T O L O G Y | UT | |
| Hospitalist, Internal Medicine | FL |
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