Active NPI
Abdul Qudoos Shahid, M.D.
- Anesthesiology Physician
- Gainesville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- ME165211
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063496586 | Medicaid | FL | |
| 2628428 | Medicaid | OH |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 21937 | OK | MD | Clinical Social Worker |
| 35.085482 | OH | MD | Hospice and Palliative Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia and Pain Management LLC | Pain Medicine | Current | Accepting new patients |
| Miami Valley Recovery, LLC | Current | Accepting new patients | |
| Miami Valley Recovery, LLC | Current | Accepting new patients | |
| Imperial Enterprise of Ohio LLC | Anesthesiology | Current | Accepting new patients |
| Northstar Anesthesia of Ohio LLC | Anesthesiology | Current | Accepting new patients |
| Mont Green Anesthesiology Inc | Anesthesiology | Past | Accepting new patients |
| Anesthesia and Pain Management LLC | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| DCR Surgery Center, LLC | Past | 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
- 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.
-
- Pain Medicine (Anesthesiology) Physician
- Beavercreek, OH
- NPI 1053600114
-
- Anesthesiology Physician
- Dayton, OH
- NPI 1295111318
-
- Community/Behavioral Health Agency
- Dayton, OH
- NPI 1285152496
-
- Anesthesiology Physician
- Springfield, OH
- NPI 1417276429
-
- Ambulatory Surgical Clinic/Center
- Dayton, OH
- NPI 1174571970
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Dayton, OH
- NPI 1831947340
-
- Multi-Specialty Clinic/Center
- Beavercreek, OH
- NPI 1952780132
-
- Anesthesiology Physician
- Corpus Christi, TX
- NPI 1215995816
-
- Anesthesiology Physician
- Dayton, OH
- NPI 1952377798
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Anesthesiology Physician
- Dayton, OH
- NPI 1750352159
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Beavercreek, OH
- NPI 1760764849
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; 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.