Look up the most recent NPI and PECOS records

Faiza Shah

Hospitalist

Allopathic & Osteopathic Physicians

820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205

PECOS Enrollment

Based on the most recent information from CMS, provider Faiza Shah is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 11:21 AM.

Profile Details

Provider ID
1346771508
Provider Type
Individual
Full Name
Shah, Faiza
Credential
M.D.

Gender
Female
Sole Proprietor
No
Enumeration Date
3/21/2017
Last Updated
8/24/2020

Contact Information

Practice Location

820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205

(904) 202-3860

(904) 202-3846

Mailing Location

PO Box 45443, Salt Lake City, UT 84145-0443

(904) 202-1032

(904) 376-4107

Provider Taxonomies

Code	Description	License
Code 208M00000X Primary	Description Hospitalist Allopathic & Osteopathic Physicians	License ME145530 Florida
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License ME145530 Florida

Faiza Shah

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Zhukivskyy, Neonila

Stone-Smith, Abbie Marie

Bartley, Joanne

Kyaw, Wai P

Miranda, Daniel A

Kanar, Ozdemir Yusef

Naimi, Haroon

Rotko, Tatjana A

Griffin, Robert Laurence

Romanelli, Mathew Charles