Individual provider Active NPI

Abdul Qudoos Shahid, M.D.

  • Anesthesiology Physician
  • Gainesville, FL
National Provider Identifier
1063496586
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME165211 Issued in FL
Practice address
1600 SW Archer Rd
Gainesville, FL 32610-3003
Phone
(352) 273-8610
Fax
(352) 273-8612
NPI assigned
Nov 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Anesthesiology) Physician 207LH0002X 35.085482 OH
Anesthesiology Physician 207L00000X 21937 OK
Anesthesiology Physician 207L00000X 35.085482 OH
Anesthesiology Physician 207L00000X ME165211 FL Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X 35.085482 OH

Addresses

Primary practice location

1600 SW Archer Rd
Gainesville, FL 32610-3003

Mailing address

PO Box 340453
Beavercreek, OH 45434-0453
Phone (937) 280-4970

Other practice location 1

2619 Commons Blvd Ste 130
Beavercreek, OH 45431-3840
Phone (937) 280-4970

Other identifiers 2

IdentifierTypeStateIssuer
1063496586MedicaidFL
2628428MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20060131000965 OH Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 5092792168 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain Management
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia and Pain Management LLCGroup PAC ID 2769654193, 5 clinicians

Practice addresses (Care Compare)

2619 Commons Blvd
Suite 130
Beavercreek, OH 45431-3840
Phone (937) 280-4970

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
21937OKMDClinical Social Worker
35.085482OHMDHospice and Palliative Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia and Pain Management LLC Pain Medicine CurrentSince Sep 1, 2011 Accepting new patients
Miami Valley Recovery, LLC CurrentSince Oct 1, 2017 Accepting new patients
Miami Valley Recovery, LLC CurrentSince May 12, 2024 Accepting new patients
Imperial Enterprise of Ohio LLC Anesthesiology CurrentSince Aug 6, 2015 Accepting new patients
Northstar Anesthesia of Ohio LLC Anesthesiology CurrentSince Aug 1, 2012 Accepting new patients
Mont Green Anesthesiology Inc Anesthesiology Past Accepting new patients
Anesthesia and Pain Management LLC PastSince Jun 26, 2022 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
DCR Surgery Center, LLC PastSince Aug 9, 2021 Accepting new patients
Consolidated Anesthesiologists Inc Anesthesiology Past Accepting new patients
Clinical Partners PA Anesthesiology Past Accepting new patients

Locations

2619 Commons Blvd
Ste 130
Beavercreek, OH 45431
Phone (937) 280-4541

245 W Elmwood Dr
Ste 100
Dayton, OH 45459
Phone (937) 350-6703

1 Elizabeth Pl
Ste NWB40
Dayton, OH 45417
Phone (937) 401-8672

8658 N Main St
Dayton, OH 45415
Phone (937) 280-4970

1 Elizabeth Pl
Dayton, OH 45417
Phone (937) 424-8200

2615 E High St
Springfield, OH 45505
Phone (888) 861-3994

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EIFHBA/Endpoint/EIFHBA

Organizations & group practices 11

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1063496586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 340453",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454340453",
            "telephone_number": "937-280-4970",
            "fax_number": "937-630-4578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SW ARCHER RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326103003",
            "telephone_number": "352-273-8610",
            "fax_number": "352-273-8612"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2619 Commons Blvd Ste 130",
            "address_purpose": "LOCATION",
            "city": "Beavercreek",
            "state": "OH",
            "postal_code": "454313840",
            "country_code": "US",
            "telephone_number": "937-280-4970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAHID",
        "first_name": "ABDUL",
        "middle_name": "QUDOOS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LH0002X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Hospice and Palliative Medicine",
            "state": "OH",
            "license": "35.085482",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OK",
            "license": "21937",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "35.085482",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME165211",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "OH",
            "license": "35.085482",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063496586",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2628428",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.