Shaminder Singh Bhullar, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

ME112489 Issued in FL

Practice address

11373 Cortez Blvd
Ste 400
Brooksville, FL 34613-5414

Phone

(352) 597-2604

Fax

(352) 596-0520

NPI assigned

Jul 13, 2007

Last updated

Dec 5, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Ophthalmology

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sbhullar@vrsllc.intellechartdirect.net
• Direct secure messaging: sbhullar70590@direct.shands.ufl.edu

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.

• Retina Treatment Center, P.L.

  • Ophthalmology Physician
  • Bradenton, FL
  • NPI 1376989921
  Medicare reassignment NPD
• RTC

  • Ophthalmology Physician
  • Sarasota, FL
  • NPI 1427495514
  NPD
• Retina Vitreous Consultants

  dba Retina Group of Florida

  • Ophthalmology Physician
  • Fort Lauderdale, FL
  • NPI 1699773796
  NPD (past)
• South Texas Retina Consultants, LLP

  • Retina Specialist (Ophthalmology) Physician
  • Corpus Christi, TX
  • NPI 1548217433
  NPD (past)

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480896000000",
    "number": "1063611739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11373 CORTEZ BLVD",
            "address_2": "STE 400",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346135414",
            "telephone_number": "352-597-2604",
            "fax_number": "352-596-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11373 CORTEZ BLVD",
            "address_2": "STE 400",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346135414",
            "telephone_number": "352-597-2604",
            "fax_number": "352-596-0520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHULLAR",
        "first_name": "SHAMINDER",
        "middle_name": "SINGH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-13",
        "last_updated": "2016-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "P0008",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME112489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005945600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Best Home Health Care LLC
• Maria Beuca
• Anil Bhatia, M.D.
• Anuj Anil Bhatia, MD
• Bhesaja LLC (BGR Pharmacy)
• Sumahitha Bichenapally, MD
• Naveen Bikkasani, MD
• Syed T Bin-Sagheer, M.D.
• Adel A Bishay, M.D.
• Andrew Bishay

• Ophthalmology Physician in Brooksville, FL
• Providers in Brooksville, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2016; 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.

Verify at the official NPI Registry.