Active NPI
Shakti Narain MD PA
- Pulmonary Disease Physician
- Leesburg, FL
National Provider Identifier
1073845459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- ME56590
- Legal business name
- SHAKTI NARAIN MD PA
- Practice address
- 1070 Flagler Ave
Leesburg, FL 34748-7633 - Phone
- (352) 365-2550
- Fax
- (352) 365-1950
- NPI assigned
- Feb 9, 2010
- Last updated
- Apr 4, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bindoo Narain
- Title
- Office Manager
- Phone
- (352) 365-2550
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME56590 | FL | |
| Pulmonary Disease Physician | 207RP1001X | ME56590 | FL | Primary |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | ME56590 | FL |
Addresses
Primary practice location
1070 Flagler Ave
Leesburg, FL 34748-7633
Mailing address
1070 Flagler Ave
Leesburg, FL 34748-7633
Phone (352) 365-2550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 061991400 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1070 Flagler Ave
Leesburg, FL 34748
Phone (352) 365-2550
114 E North Blvd
Leesburg, FL 34748
Phone (352) 365-1525
7928 US Highway 441
Leesburg, FL 34788
Phone (352) 365-2550
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BHDJBA
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pulmonary Disease Physician
- Leesburg, FL
- NPI 1689643199
-
- Nurse Practitioner
- Temple Terrace, FL
- NPI 1770761348
-
- Adult Health Nurse Practitioner
- Orlando, FL
- NPI 1053650507
-
- Nurse Practitioner
- Hollywood, FL
- NPI 1033701677
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265673600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1333497600000",
"number": "1073845459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1070 FLAGLER AVE",
"city": "LEESBURG",
"state": "FL",
"postal_code": "347487633",
"telephone_number": "352-365-2550",
"fax_number": "352-365-1950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1070 FLAGLER AVE",
"city": "LEESBURG",
"state": "FL",
"postal_code": "347487633",
"telephone_number": "352-365-2550",
"fax_number": "352-365-1950"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHAKTI NARAIN MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-09",
"last_updated": "2012-04-04",
"status": "A",
"authorized_official_last_name": "NARAIN",
"authorized_official_first_name": "BINDOO",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "352-365-2550"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME56590",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "FL",
"license": "ME56590",
"primary": true
},
{
"code": "207RS0012X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Sleep Medicine",
"state": "FL",
"license": "ME56590",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "061991400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Leesburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.