Organization Active NPI

Shakti Narain MD PA

  • Pulmonary Disease Physician
  • Leesburg, FL
National Provider Identifier
1073845459
Registry record updated Apr 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME56590 Issued in FL
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2012

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X ME56590 FL
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X ME56590 FL Primary
Sleep Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
061991400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100206000110 FL Part B Supplier - Clinic/Group Practice 3274676606 Receives reassigned benefits from 4 practitioners
Practice locations: Leesburg, FL; The Villages, FL; Lady Lake, FL

National Provider Directory

National Provider Directory

Locations

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

  • FHIR API: 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.

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.

Verify at the official NPI Registry.