Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Samir Shah, DO

Individual provider Internal Medicine Physician · NPI 1104563790

Dr. Samir Shah, DO is an Internal Medicine in Jacksonville, Florida. Qualified in 2022, 4 years ago. Practices with Inpatient Consultants of Florida, Inc, a 160-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
4
Licensed in
FL
In the registry since
2022
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

3625 University Blvd S
Jacksonville, FL 32216-4207
Phone: (904) 702-6111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence S000-791-95-288-0 (FL)

Record details

NPI number1104563790
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 16, 2022
Last updated in NPPESJanuary 28, 2026
Certification dateJanuary 28, 2026
Mailing address3625 University Blvd S, Jacksonville, FL 32216-4207

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Inpatient Consultants Of Florida, Inc — 160 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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