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

Mr. Dipam Jashwant Shah, AA

Individual provider Anesthesiology Physician · NPI 1760985782

Mr. Dipam Jashwant Shah, AA is an Anesthesiology Assistant in Jacksonville, Florida. Qualified in 2017, 9 years ago. Practices with North Florida Anesthesia Consultants Inc, a 108-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
9
Licensed in
FL
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

2165 Herschel St
Jacksonville, FL 32204-3819
Phone: (904) 387-4030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence AA437 (FL)
Anesthesiology Physician Taxonomy 207L00000X · Licence AA437 (FL)

Record details

NPI number1760985782
Entity typeIndividual (Type 1)
GenderMale
Credentials AA
Sole proprietorNo
NPI enumeratedMarch 15, 2018
Last updated in NPPESMarch 27, 2025
Certification dateMarch 27, 2025

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice North Florida Anesthesia Consultants Inc — 108 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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