Individual provider Active NPI

Samir M Shakfeh, MD

  • Obstetrics & Gynecology Physician
  • Spring Hill, FL
National Provider Identifier
1275521890
Registry record updated Jun 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME62854 Issued in FL
Practice address
221 Mariner Blvd
Spring Hill, FL 34609-5692
Phone
(352) 666-0544
Fax
(352) 688-0464
NPI assigned
Oct 7, 2005
Last updated
Jun 22, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME62854 FL Primary

Addresses

Primary practice location

221 Mariner Blvd
Spring Hill, FL 34609-5692

Mailing address

221 Mariner Blvd
Spring Hill, FL 34609-5692
Phone (352) 666-0544

Other identifiers 1

IdentifierTypeStateIssuer
371257500MedicaidFL

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
I20080603000131 FL Practitioner - Obstetrics/Gynecology 6204906274 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Citrus Specialty Group IncGroup PAC ID 8022331255, 14 clinicians

Practice addresses (Care Compare)

11375 Cortez Blvd
Brooksville, FL 34613-5409
Phone (352) 628-6441

11377 Cortez Blvd
Brooksville, FL 34613-5409
Phone (352) 597-3077

221 Mariner Blvd
Spring Hill, FL 34609-5692
Phone (352) 666-0544

800 Medical CT E
Inverness, FL 34452-4612
Phone (352) 726-7667

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.82 of 100Reported as group
Quality
86.91
Promoting interoperability
99
Improvement activities
40
Cost
74.29

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa General Hospital Current Accepting new patients
Citrus Specialty Group, Inc CurrentSince Sep 27, 2017 Accepting new patients

Locations

403 W Highland Blvd
Inverness, FL 34452
Phone (352) 726-3646

800 Medical Ct E
Inverness, FL 34452
Phone (352) 726-7667

221 Mariner Blvd
Spring Hill, FL 34609
Phone (352) 666-0544

11375 Cortez Blvd
Weeki Wachee, FL 34613
Phone (352) 596-4209

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: samir.shakfeh@hca4.eclinicaldirectplus.com
  • Direct secure messaging: sshakfeh296291@direct.tgh.org
  • Direct secure messaging: vanessa@awhc.providersdirect.com

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 1

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": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308700800000",
    "number": "1275521890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 MARINER BLVD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346095692",
            "telephone_number": "352-666-0544",
            "fax_number": "352-688-0464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 MARINER BLVD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346095692",
            "telephone_number": "352-666-0544",
            "fax_number": "352-688-0464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAKFEH",
        "first_name": "SAMIR",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-07",
        "last_updated": "2011-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME62854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "371257500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

Verify at the official NPI Registry.