| Bobby Ajay Shah, MD | |
|
3275 Sw Darwin Blvd, Port St Lucie, FL 34953-3317 | |
| (800) 437-2672 | |
| Not Available |
| Full Name | Bobby Ajay Shah |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 29 Years |
| Location | 3275 Sw Darwin Blvd, Port St Lucie, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871534925 | NPI | - | NPPES |
| 200382730 | Medicaid | IN | |
| 300135676 | Other | IN | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0204X | Radiology - Vascular & Interventional Radiology | 01056041A (Indiana) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 01056041A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Havasu Regional Medical Center | Lake havasu city, AZ | Hospital |
| Valley View Medical Center | Fort mohave, AZ | Hospital |
| Canyon Vista Medical Center | Sierra vista, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pinnacle Healthcare Llc | 3870939614 | 18 |
| Entity Name | Lakeside Orthopedic Institute Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275564916 PECOS PAC ID: 1052316445 Enrollment ID: O20060918000307 |
| Entity Name | Cardiovascular And Thoracic Solutions Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790253318 PECOS PAC ID: 4688907371 Enrollment ID: O20190612001295 |
| Entity Name | Sonoran Radiology Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033745708 PECOS PAC ID: 3375964505 Enrollment ID: O20200526002412 |
| Entity Name | Pinnacle Healthcare Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457125288 PECOS PAC ID: 3870939614 Enrollment ID: O20240412000922 |
| Mailing Address | Practice Location Address |
|---|---|
| Bobby Ajay Shah, MD 825 E Lincolnway, Valparaiso, IN 46383-5803 Ph: (219) 464-4891 | Bobby Ajay Shah, MD 3275 Sw Darwin Blvd, Port St Lucie, FL 34953-3317 Ph: (800) 437-2672 |
Dr. Vijaya Vardhan Chundi, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1825 Se Tiffany Ave Ste 104, Port St Lucie, FL 34952 Phone: 772-398-2233 Fax: 772-398-2244 | |
Whitney Page, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1825 Se Tiffany Ave Ste 104, Port St Lucie, FL 34952 Phone: 772-398-2233 | |
Dr. Mel Timtiman Lizaso, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1095 Nw Saint Lucie West Blvd, Port St Lucie, FL 34986 Phone: 772-288-5890 | |
Dr. James Michael Melotek, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 8980 S Us Highway 1 Ste 105, Port St Lucie, FL 34952 Phone: 772-281-3060 Fax: 772-281-3055 | |
Rochelle A Wolfe, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1800 Se Tiffany Ave, Port St Lucie, FL 34952 Phone: 772-335-4000 | |
Alexander N Vennos, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1800 Se Tiffany Ave, Attention Rhonda Robertson Radiology Dept, Port St Lucie, FL 34952 Phone: 561-736-1200 Fax: 561-742-1919 | |
Alex Sarmen Mirakian, Radiology Medicare: Accepting Medicare Assignments Practice Location: 8980 S Us Highway 1 Ste 105, Port St Lucie, FL 34952 Phone: 772-281-3060 Fax: 772-281-3055 |