Individual provider Active NPI

Shahid Farooq Usmani, MD

  • Pediatrics Physician
  • Ocoee, FL
National Provider Identifier
1043281215
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME58828 Issued in FL
Practice address
1551 Boren Dr
Suite # a
Ocoee, FL 34761-2966
Phone
(407) 877-8300
Fax
(407) 877-8841
NPI assigned
Jan 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME58828 FL Primary

Addresses

Primary practice location

1551 Boren Dr
Suite # a
Ocoee, FL 34761-2966

Mailing address

1551 Boren Dr Ste a
Ocoee, FL 34761-2966
Phone (407) 395-2037

Other identifiers 1

IdentifierTypeStateIssuer
053679200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME58828FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ocoee Pediatrics Pediatrics CurrentSince Nov 6, 2022 Accepting new patients
Florida Hospital Medical Group Inc Pediatrics PastSince Oct 30, 2022 Accepting new patients

Locations

1551 Boren Dr
Ste A
Ocoee, FL 34761
Phone (407) 395-2037

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1043281215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 BOREN DR STE A",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347612966",
            "telephone_number": "407-395-2037",
            "fax_number": "073-952-0384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 BOREN DR",
            "address_2": "SUITE # A",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347612966",
            "telephone_number": "407-877-8300",
            "fax_number": "407-877-8841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "USMANI",
        "first_name": "SHAHID",
        "middle_name": "FAROOQ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME58828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "053679200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocoee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.