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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Andrea Ellen Clark Shah, M.D.

Pediatrics Physician in Jacksonville, FL · enumerated 2009.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1487987491

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Registry record

Entity type Individual (Type 1)
Name Dr. Andrea Ellen Clark Shah
Credential M.D.
Sex Female
Practice address 14810 Old Saint Augustine Rd Ste 106, Jacksonville, FL, 32258
Phone (904) 268-7701
Fax (904) 268-9708
Enumeration date Sep 9, 2009
Last updated in NPPES Nov 19, 2024

Taxonomy & licenses

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License ME91797 (FL) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
008434500 Medicaid FL -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
What specialty is Andrea Shah?
Andrea Shah is registered in NPPES with the primary taxonomy of Pediatrics Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-11-19.