Active NPI
Shakib Shokry Sakla Namas, M.D.
- Geriatric Medicine (Internal Medicine) Physician
- Clearwater, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 036087200
- Practice address
- 17757 US Highway 19 N Ste 175
Clearwater, FL 33764-6564 - Phone
- (727) 270-9800
- NPI assigned
- Feb 22, 2006
- Last updated
- Nov 8, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | ME47201 | FL | |
| Spinal Cord Injury Medicine Physician | 2081P0004X | 036087200 | IL | |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 036087200 | IL | Primary |
Addresses
Primary practice location
17757 US Highway 19 N Ste 175
Clearwater, FL 33764-6564
Mailing address
6400 Shafer CT Ste 700
Rosemont, IL 60018-4989
Phone (346) 376-1702
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME47201 | FL | MD | Hospice and Palliative Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rajiv Kandala M D S C | Current | Accepting new patients | |
| Physicians Medical Services, LTD. | Current | Accepting new patients | |
| Seasons Hospice & Palliative Care of Pasco County, LLC | Hospice and Palliative Medicine | Current | Accepting new patients |
| Southside Primary Care Group SC | Past | Accepting new patients | |
| Associates in Pulmonary & Critical Care LTD | Past | Accepting new patients | |
| Seasons Hospice & Palliative Care of Tampa, LLC | Hospice and Palliative Medicine | Past | Accepting new patients |
| Seasons Hospice & Palliative Care of Pinellas County LLC | Hospice and Palliative Medicine | Past | Accepting new patients |
Locations
2644 Cypress Ridge Blvd
Ste 104
Wesley Chapel, FL 33544
Phone (813) 364-0311
2451 W Touhy Ave
Chicago, IL 60645
Phone (312) 593-5599
2544 W Montrose Ave
Chicago, IL 60618
Phone (773) 267-2622
3435 W Van Buren St
Chicago, IL 60624
Phone (773) 265-7700
4058 W Melrose St
Chicago, IL 60641
Phone (773) 267-2622
6130 N Sheridan Rd
Chicago, IL 60660
Phone (773) 381-1222
7531 S Stony Island Ave
Chicago, IL 60649
Phone (773) 947-7310
1730 Park St
Ste 101
Naperville, IL 60563
Phone (630) 718-0200
365 E North Ave
Northlake, IL 60164
Phone (517) 273-1540
9525 Mayfield Ave
Oak Lawn, IL 60453
Phone (708) 636-7000
6400 Shafer Ct
Ste 700
Rosemont, IL 60018
2158 45th St
Highland, IN 46322
Phone (219) 554-0500
Organizations & group practices 7
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.
-
- Family Medicine Physician
- Chicago, IL
- NPI 1114094281
-
dba AccentCare Hospice & Palliative Care of Pasco County
- Community Based Hospice Care Agency
- Wesley Chapel, FL
- NPI 1619518610
Hospice and Palliative Medicine
-
- Family Medicine Physician
- Chicago, IL
- NPI 1164469581
-
dba AccentCare Hospice & Palliative Care of Pinellas County
- Community Based Hospice Care Agency
- Clearwater, FL
- NPI 1821503756
Hospice and Palliative Medicine
-
dba AccentCare Hospice & Palliative Care of Hillsborough County
- Community Based Hospice Care Agency
- Tampa, FL
- NPI 1720530660
Hospice and Palliative Medicine
-
- Pulmonary Disease Physician
- Chicago, IL
- NPI 1558456525
-
dba Metro Medical Associates
- Internal Medicine Physician
- Chicago, IL
- NPI 1417403072
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667865600000",
"number": "1093780926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6400 SHAFER CT STE 700",
"city": "ROSEMONT",
"state": "IL",
"postal_code": "600184989",
"telephone_number": "346-376-1702",
"fax_number": "224-532-2780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17757 US HIGHWAY 19 N STE 175",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337646564",
"telephone_number": "727-270-9800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAKLA NAMAS",
"first_name": "SHAKIB",
"middle_name": "SHOKRY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-22",
"last_updated": "2022-11-08",
"certification_date": "2022-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "207QH0002X",
"taxonomy_group": "",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": "FL",
"license": "ME47201",
"primary": false
},
{
"code": "2081P0004X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine",
"state": "IL",
"license": "036087200",
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "IL",
"license": "036087200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.