Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104563790 Individual Practitioner Male Practitioner

Dr. Samir Shah , DO

Internal Medicine • Jacksonville, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Samir Shah, DO is a certified Internal Medicine practicing in Jacksonville, FL. With approximately 4 years of clinical experience since completing medical education in 2022, Dr. Shah delivers high-quality medical care to the local community at 3625 UNIVERSITY BLVD S.

Dr. Shah maintains professional affiliations with Refined Medical Group Llc, Inpatient Consultants Of Florida, Inc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

3625 University Blvd S

Jacksonville, FL 322164207

Telephone 9047026111
Associated Practice Facility / Clinic
🏢 Anesthesia Consultants Pa Facility NPI 1346240066

Medicare Profile & Education

Medical School

Other

Graduation Year

2022

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Jacksonville, FL

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -20.1 yrs vs City Avg
City Avg: 24.1 Yrs
State Avg: 26.5 Yrs
Regional Practice Density
568 Specialists

Practicing in Jacksonville, FL (10650 Statewide)

Telehealth Adoption Rate
19.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shah (4 Years) 4 Yrs
Jacksonville Specialty Average (24.1 Years) 24.1 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-01-28
Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License FL S000-791-95-288-0

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospital & Practice Group Affiliations

Refined Medical Group Llc

15255 Max Leggett Pkwy, Jacksonville, FL 322187273

Phone: 9042810944

Inpatient Consultants Of Florida, Inc

12645 Salina Dr, Jacksonville, FL 322462291

Phone: 9047878150

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Lindsay Putkowski , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003626698

Certified Registered Nurse Anesthetist

Dr. Nakish Grant , MD

General Practice

NPI 1023270659

Doctor of Medicine (M.D.)

Dr. Amy Amornmarn , MD

Internal Medicine

NPI 1033679923

Doctor of Medicine (M.D.)

Dr. Moira Wallace , MD

Emergency Medicine

NPI 1053549212

Doctor of Medicine (M.D.)

Jenny Kambel , CRNA

Nurse Anesthetist, Certified Registered

NPI 1104291822

Certified Registered Nurse Anesthetist

Aria Kramer , CRNA

Nurse Anesthetist, Certified Registered

NPI 1134833841

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location January 28, 2026

Registered at 3625 UNIVERSITY BLVD S, JACKSONVILLE, FL 322164207 (Tel: 9047026111)

📍
Updated Business Mailing Address January 28, 2026

Registered at 3625 UNIVERSITY BLVD S, JACKSONVILLE, FL 322164207 (Tel: 9047026111)

📍
Updated Business Mailing Address April 12, 2023

Registered at 600 ROE AVE, ELMIRA, NY 149051629 (Tel: 6077374100)

NPI Profile Active May 16, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location May 16, 2022

Registered at 600 ROE AVE, ELMIRA, NY 149051629 (Tel: 6077374100)

📍
Updated Business Mailing Address May 16, 2022

Registered at 100 W WATER ST APT 305, ELMIRA, NY 149013011 (Tel: 9047086621)

👤
Provider Name / Credentials Updated May 16, 2022

Recorded as SAMIR SHAH, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 16, 2022

Internal Medicine (License #S000-791-95-288-0 in FL)

🟢
Initial NPI Registration & Enumeration May 16, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104563790
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 16, 2022
Last Update: January 28, 2026
Sole Proprietor: No

Mailing Address

3625 University Blvd S

Jacksonville, FL 322164207

Phone: 9047026111

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.