Individual provider Active NPI

Arif Shakoor, M.D.

  • Pulmonary Disease Physician
  • Okeechobee, FL
National Provider Identifier
1114951597
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME0057971 Issued in FL
Practice address
2257 Hwy 441 North
Suite C
Okeechobee, FL 34972
Phone
(863) 357-2300
Fax
(863) 824-0064
NPI assigned
Jul 10, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X ME0057971 FL Primary

Addresses

Primary practice location

2257 Hwy 441 North
Suite C
Okeechobee, FL 34972

Mailing address

2257 Hwy 441 North
Suite C
Okeechobee, FL 34972
Phone (863) 357-2300

Other identifiers 2

IdentifierTypeStateIssuer
063882000MedicaidFL
10565OtherFLBLUE CROSS BLUE SHIELD FL

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
I20101221000906 FL Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 1254529001 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2257 Hwy 441 N
Suite C Arif Shakoor MD
Okeechobee, FL 34972-1943
Phone (863) 357-2300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0057971FLMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arif Shakoor II LLC Pulmonary Disease CurrentSince Oct 1, 2018 Accepting new patients
Treasure Coast Cancer Care Center Inc PastSince Feb 4, 1998 Accepting new patients

Locations

2257 US Highway 441 N
Ste C
Okeechobee, FL 34972
Phone (772) 287-4061

Organizations & group practices 2

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.

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114951597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2257 HWY 441 NORTH",
            "address_2": "SUITE C",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "34972",
            "telephone_number": "863-357-2300",
            "fax_number": "863-824-0064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2257 HWY 441 NORTH",
            "address_2": "SUITE C",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "34972",
            "telephone_number": "863-357-2300",
            "fax_number": "863-824-0064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAKOOR",
        "first_name": "ARIF",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME0057971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063882000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD FL",
            "identifier": "10565",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Okeechobee, FL

Sources for this page

Verify at the official NPI Registry.