Active NPI
Shirley Sharona Zelikovsky, MD
- Family Medicine Physician
- Casselberry, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME100234
- Practice address
- 544 Legacy Park Dr
Casselberry, FL 32707-2402 - Phone
- (772) 678-5723
- Fax
- (407) 637-5772
- NPI assigned
- Apr 17, 2007
- Last updated
- May 10, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 78254 | GA | |
| Family Medicine Physician | 207Q00000X | 50527 | KY | |
| Family Medicine Physician | 207Q00000X | 2007-01808 | NC | |
| Family Medicine Physician | 207Q00000X | 287936 | NY | |
| Family Medicine Physician | 207Q00000X | ME100234 | FL | Primary |
| Internal Medicine Physician | 207R00000X | ME100234 | FL |
Addresses
Primary practice location
544 Legacy Park Dr
Casselberry, FL 32707-2402
Mailing address
2600 Westhall Lane
Box 300
Maitland, FL 32751
Phone (407) 200-2300
Other practice location 1
985 Sr 436
Casselberry, FL 32707-5664
Phone (407) 831-5252
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
301 High Pointe LN
Neptune, NJ 07753-2771
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 78254 | GA | MD | Family Medicine Physician |
| 50527 | KY | MD | Family Medicine Physician |
| 287936 | NY | MD | Family Medicine Physician |
| ME100234 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Wellness Consulting LLC | Internal Medicine | Current | Accepting new patients |
| Care Talk Health FL PA | Current | Accepting new patients | |
| Care Telehealth Medical Services Ny PC | Past | Accepting new patients | |
| Treasure Coast Primary Care | Past | Accepting new patients |
Locations
1655 Palm Beach Lakes Blvd
Ste 900
West Palm Beach, FL 33401
5840 Red Bug Lake Rd
Winter Springs, FL 32708
Phone (407) 212-7213
4849 Rugby Ave
Bethesda, MD 20814
Phone (240) 817-7500
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Public Health & General Preventive Medicine Physician
- Bethesda, MD
- NPI 1477263077
FL
-
- Primary Care Clinic/Center
- Port Saint Lucie, FL
- NPI 1992179527
-
- Public Health & General Preventive Medicine Physician
- Bethesda, MD
- NPI 1750060547
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557446400000",
"number": "1023234457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 WESTHALL LANE",
"address_2": "BOX 300",
"city": "MAITLAND",
"state": "FL",
"postal_code": "32751",
"telephone_number": "407-200-2300",
"fax_number": "407-200-1353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "544 LEGACY PARK DR",
"city": "CASSELBERRY",
"state": "FL",
"postal_code": "327072402",
"telephone_number": "772-678-5723",
"fax_number": "407-637-5772"
}
],
"practiceLocations": [
{
"address_1": "985 SR 436",
"address_purpose": "LOCATION",
"city": "Casselberry",
"state": "FL",
"postal_code": "327075664",
"country_code": "US",
"telephone_number": "407-831-5252",
"fax_number": "407-831-3390",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZELIKOVSKY",
"first_name": "SHIRLEY",
"middle_name": "SHARONA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-17",
"last_updated": "2019-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "78254",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "50527",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "2007-01808",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "287936",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME100234",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME100234",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Casselberry, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.