Individual provider Active NPI

Shirley Sharona Zelikovsky, MD

  • Family Medicine Physician
  • Casselberry, FL
National Provider Identifier
1023234457
Registry record updated May 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME100234 Issued in FL
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, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090716000398 FL Practitioner - Family Practice 9931294550 Reassigns benefits to 2 organizations
I20260127000610 NJ Practitioner - Family Practice 9931294550 Reassigns benefits to 1 organization

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
78254GAMDFamily Medicine Physician
50527KYMDFamily Medicine Physician
287936NYMDFamily Medicine Physician
ME100234FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Wellness Consulting LLC Internal Medicine CurrentSince Sep 22, 2025 Accepting new patients
Care Talk Health FL PA CurrentSince Jun 1, 2025 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.

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

Verify at the official NPI Registry.