NPIMap

Individual provider Active NPI

Shazia Bashir, M.D,

  • Gynecologic Oncology Physician
  • St Augustine, FL
National Provider Identifier
1073788634
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
ME120013 Issued in FL
Practice address
201 Health Park Blvd Ste 215
St Augustine, FL 32086-5797
Phone
(904) 373-1177
Fax
(904) 925-3351
NPI assigned
Apr 24, 2008
Last updated
May 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology Physician 207VX0201X ME120013 FL Primary
Gynecologic Oncology Physician 207VX0201X 1017343 MA

Addresses

Primary practice location

201 Health Park Blvd Ste 215
St Augustine, FL 32086-5797

Mailing address

707 1St St S Apt 604
Jacksonville Beach, FL 32250-6670

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MA, MO3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20140619002216 FL Practitioner - Gynecological Oncology 8820212517 Reassigns benefits to 1 organization
I20231211003282 MA Practitioner - Gynecological Oncology 8820212517
I20250220003576 MO Practitioner - Gynecological Oncology 8820212517 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gynecological Oncology
Education
Saint Louis University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shazia Bashir MD PLLCGroup PAC ID 8123510690, 2 clinicians
Mercy Clinic Springfield CommunitiesGroup PAC ID 7416865845, shared by 26 NPIs, 1,121 clinicians

Practice addresses (Care Compare)

201 Health Park Blvd
Suite 215
St Augustine, FL 32086-5797
Phone (904) 373-1177

2115 S Fremont Ave
1100 MC Womens Oncology Whiteside
Springfield, MO 65804-2239
Phone (417) 820-3554

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
82.98
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME120013FLMDGynecologic Oncology Physician
1017343MAMDGynecologic Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Springfield Communities CurrentSince Mar 3, 2025 Accepting new patients
Shazia Bashir MD PLLC Gynecologic Oncology CurrentSince Oct 4, 2025 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Mar 3, 2025 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Mar 3, 2025 Accepting new patients

Locations

201 Health Park Blvd
Ste 215
St Augustine, FL 32086
Phone (904) 373-1177

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

1235 E Cherokee St
Springfield, MO 65804
Phone (417) 820-2115

2115 S Fremont Ave
Ste 1100
Springfield, MO 65804
Phone (417) 820-3554

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: sbashir549569@direct.shands.ufl.edu

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.

Hospital & facility affiliations 11

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": "1208995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1073788634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 1ST ST S APT 604",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322506670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 HEALTH PARK BLVD STE 215",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865797",
            "telephone_number": "904-373-1177",
            "fax_number": "904-925-3351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASHIR",
        "first_name": "SHAZIA",
        "credential": "M.D,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-24",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "FL",
            "license": "ME120013",
            "primary": true
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "MA",
            "license": "1017343",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

Verify at the official NPI Registry.