Active NPI
Safiya Shaikh, DO
- Emergency Medicine Physician
- Orange Park, FL
National Provider Identifier
1083316772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 012392
- Practice address
- 2001 Kingsley Ave
Orange Park, FL 32073-5148 - Phone
- (904) 639-2003
- NPI assigned
- Mar 20, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 012392 | AZ | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
2001 Kingsley Ave
Orange Park, FL 32073-5148
Mailing address
2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 639-2003
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230726003147 | FL | Order and Referring Only - Emergency Medicine | 7618338443 |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Arizona College of Osteopathic Medicine Mid Western University, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1000 River Rd
Suite 100
Conshohocken, PA 19428-2439
5258 Collins Preserve LN
Apt 622
Jacksonville, FL 32244-5635
852 E Boston St
Gilbert, AZ 85295-5998
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781654400000",
"number": "1083316772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 KINGSLEY AVE",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320735148",
"telephone_number": "904-639-2003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 KINGSLEY AVE",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320735148",
"telephone_number": "904-639-2003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAIKH",
"first_name": "SAFIYA",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-03-20",
"last_updated": "2026-06-17",
"certification_date": "2026-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AZ",
"license": "012392",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 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.