Doctor profile · Federal record
Dr. Samir Shah, DO
Internal Medicine Physician (CMS: Internal Medicine) · Jacksonville, FL
- NPI 1104563790
- Accepts Medicare
- 4 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
3625 University Blvd S
Jacksonville, FL 322164207
(904) 702-6111
Credentials & registration
- NPI registered
- May 2022 — 4 yrs on file
- Profile last updated
- January 28, 2026
- Year of graduation
- 2022 — 4 yrs since
- Specialty taxonomy
- 207R00000X — NUCC code
- State license (1)
- Florida #S000-791-95-288-0
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1104563790. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$124
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| AstraZeneca Pharmaceuticals LP | 1 | $123.90 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
24
Patients
0
Total drug cost
$342
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 12 | 0 | $126 |
| Bisoprolol-Hydrochlorothiazide (Bisoprolol/Hydrochlorothiazide) | Brand | 12 | 0 | $216 |
Hospital affiliations
Frequently asked questions
What is Dr. Samir Shah's medical specialty?
Dr. Samir Shah practices Internal Medicine Physician in Jacksonville, FL.
Where does Dr. Samir Shah practice?
Dr. Samir Shah practices at 3625 University Blvd S, Jacksonville, FL 322164207. Office phone: 9047026111.
What is Dr. Samir Shah's NPI?
Dr. Samir Shah's National Provider Identifier (NPI) is 1104563790, issued by NPPES.
Does Dr. Samir Shah accept Medicare assignment?
Yes. Dr. Samir Shah accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.