Individual provider Active NPI

Asif Raza Shafiq, DO

  • Neurological Surgery Physician
  • Saint Petersburg, FL
National Provider Identifier
1114346285
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
OS17994 Issued in FL
Practice address
5800 49TH St N Ste S201
Saint Petersburg, FL 33709-2146
Phone
(727) 605-1770
Fax
(727) 605-1080
NPI assigned
Apr 15, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X OS17994 FL Primary

Addresses

Primary practice location

5800 49TH St N Ste S201
Saint Petersburg, FL 33709-2146

Mailing address

5800 49TH St N Ste S201
Saint Petersburg, FL 33709-2146
Phone (727) 605-1770

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220830002531 FL Practitioner - Neurosurgery 7416331137 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Premier Neurospine Institute, LLCGroup PAC ID 2860721941, 9 clinicians

Practice addresses (Care Compare)

5800 49TH St N
Suite 201
St Petersburg, FL 33709-2100
Phone (727) 605-1770

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Clearwater, FL, CCN 109687
  • HCA Florida Northside Hospital Hospital, Saint Petersburg, FL, CCN 100238
  • Orlando Health Bayfront Hospital Hospital, Saint Petersburg, FL, CCN 100032

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion18
Laminectomy or laminotomy (partial removal of spine bones)23

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Neurospine Institute, LLC Neurological Surgery CurrentSince Aug 1, 2022 Accepting new patients

Locations

2220 W Bay Dr
Largo, FL 33770

5800 49th St N
Ste 201
St Petersburg, FL 33709
Phone (727) 605-1770

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1114346285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 49TH ST N STE S201",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337092146",
            "telephone_number": "727-605-1770",
            "fax_number": "727-605-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 49TH ST N STE S201",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337092146",
            "telephone_number": "727-605-1770",
            "fax_number": "727-605-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFIQ",
        "first_name": "ASIF",
        "middle_name": "RAZA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-15",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "OS17994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Petersburg, FL

Sources for this page

Verify at the official NPI Registry.