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

Dr. Sanjay D Shah, MD

Individual provider Internal Medicine Physician · NPI 1154634095

Dr. Sanjay D Shah, MD is an Internal Medicine in Orlando, Florida. Qualified in 2010, 16 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arkansas and Florida.

Years since qualifying
16
Licensed in
AR, FL
In the registry since
2010
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1222 S Orange Ave
Orlando, FL 32806-1215
Phone: (321) 841-6444
Fax: (407) 445-3515
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4301 W Markham St # 532, Little Rock, AR 72205-7101 — (501) 686-5311

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence ME155347 (FL)
Internal Medicine Physician Taxonomy 207R00000X · Licence E-13342 (AR)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence E-13342 (AR)
Clinical Cardiac Electrophysiology Physician Taxonomy 207RC0001X · Licence E-13342 (AR)

Record details

NPI number1154634095
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 20, 2010
Last updated in NPPESJune 27, 2025
Certification dateApril 2, 2024
Mailing address1222 S Orange Ave, Orlando, FL 32806-1215

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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