Active NPI
Imtiazuddin Shaik, MD
- Surgery Physician
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ME126757
- Practice address
- 9430 Turkey Lake Rd Ste 114
Orlando, FL 32819-8015 - Phone
- (407) 354-1202
- Fax
- (407) 351-8801
- NPI assigned
- Aug 6, 2008
- Last updated
- Apr 25, 2023
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 57014187 | OH | |
| Transplant Surgery Physician | 204F00000X | A121450 | CA | |
| Transplant Surgery Physician | 204F00000X | ME126757 | FL | |
| Transplant Surgery Physician | 204F00000X | 275722 | NY | |
| Surgery Physician | 208600000X | ME126757 | FL | Primary |
Addresses
Primary practice location
9430 Turkey Lake Rd Ste 114
Orlando, FL 32819-8015
Mailing address
9430 Turkey Lake Rd Ste 114
Orlando, FL 32819-8015
Phone (407) 354-1202
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 018738400 | Medicaid | FL | |
| 1194981498 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, TX, OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2001 N Oregon St
El Paso, TX 79902-3320
Phone (915) 320-3393
9430 Turkey Lake Rd
Suite 114
Orlando, FL 32819-8015
Phone (407) 354-1202
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.91 of 100
- Quality
- 61.18
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.86
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57014187 | OH | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Acute Care Surgical Affiliates of Texas PA | Surgery | Current | Accepting new patients |
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Acute Care Surgery of South Dakota PC | Current | Accepting new patients | |
| Tenet Hospitals Limited | Past | Accepting new patients |
Locations
32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820
9430 Turkey Lake Rd
Ste 114
Orlando, FL 32819
Phone (407) 354-1202
110 NW 31st St
Fl 3
Lawton, OK 73505
Phone (580) 250-5200
3401 W Gore Blvd
Lawton, OK 73505
Phone (580) 483-5207
600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511
2001 N Oregon St
El Paso, TX 79902
Phone (915) 577-6011
2101 N Oregon St
El Paso, TX 79902
Phone (915) 577-6011
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
-
- Surgery Physician
- Corpus Christi, TX
- NPI 1407322415
-
- Orthopaedic Surgery Physician
- Rapid City, SD
- NPI 1730797184
OK
-
- Durable Medical Equipment & Medical Supplies
- Winter Park, FL
- NPI 1265019541
-
dba The Hospitals of Providence Memorial Campus
- General Acute Care Hospital
- El Paso, TX
- NPI 1700801909
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
-
dba Orlando Health South Lake Hospital
- General Acute Care Hospital
- Clermont, FL
- NPI 1336221019
-
dba The Hospitals of Providence Memorial Campus
- General Acute Care Hospital
- El Paso, TX
- NPI 1700801909
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682380800000",
"number": "1194981498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9430 TURKEY LAKE RD STE 114",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328198015",
"telephone_number": "407-354-1202",
"fax_number": "407-351-8801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9430 TURKEY LAKE RD STE 114",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328198015",
"telephone_number": "407-354-1202",
"fax_number": "407-351-8801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAIK",
"first_name": "IMTIAZUDDIN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-06",
"last_updated": "2023-04-25",
"certification_date": "2023-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OH",
"license": "57014187",
"primary": false
},
{
"code": "204F00000X",
"taxonomy_group": "",
"desc": "Transplant Surgery",
"state": "CA",
"license": "A121450",
"primary": false
},
{
"code": "204F00000X",
"taxonomy_group": "",
"desc": "Transplant Surgery",
"state": "FL",
"license": "ME126757",
"primary": false
},
{
"code": "204F00000X",
"taxonomy_group": "",
"desc": "Transplant Surgery",
"state": "NY",
"license": "275722",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME126757",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "018738400",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1194981498",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; 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.