Individual provider Active NPI

Shamila Leathers, M.D.

  • Anesthesiology Physician
  • Fountain Valley, CA
National Provider Identifier
1306112206
Registry record updated Jan 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME143712 Issued in FL
Practice address
9920 Talbert Ave
Fountain Valley, CA 92708-5153
Phone
(714) 378-7000
NPI assigned
Mar 26, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X ME143712 FL Primary
Anesthesiology Physician 207L00000X A 120506 CA

Addresses

Primary practice location

9920 Talbert Ave
Fountain Valley, CA 92708-5153

Mailing address

210 N Tustin Ave
Santa Ana, CA 92705-3807
Phone (714) 347-1010

Other names 1

  • Dr. Shamila Mokfi Former name

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
I20200123001374 FL Practitioner - Anesthesiology 0042466252 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthcare Career Services LLCGroup PAC ID 0446643464, 30 clinicians
US Anesthesia Partners of Florida IncGroup PAC ID 0345143152, 1,111 clinicians
Ams National LLCGroup PAC ID 3870813025, 310 clinicians

Practice addresses (Care Compare)

26034 US Hwy 19 N
Clearwater, FL 33763-2043
Phone (727) 371-2500

601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-5600

93 N Park Place Blvd
102 Advanced Surgical Care of Clearwate
Clearwater, FL 33759-3929
Phone (727) 240-2088

Merit-based Incentive Payment System (MIPS)

Final score
94.8 of 100Reported as group
Quality
99.47
Improvement activities
40
Cost
83.62

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A 120506CAMDAnesthesiology Physician
ME143712FLMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ams National LLC Anesthesiology CurrentSince Jul 15, 2024 Accepting new patients
US Anesthesia Partners of Florida Inc. Anesthesiology CurrentSince Jan 29, 2021 Accepting new patients
North Pinellas Anesthesia Associates, PA Anesthesiology CurrentSince Jan 13, 2020 Accepting new patients
Tampa Bay Joint and Spine, LLC CurrentSince Jul 12, 2024 Accepting new patients
Healthcare Career Services LLC Anesthesiology CurrentSince Jul 12, 2024 Accepting new patients

Locations

93 N Park Place Blvd
Ste 102
Clearwater, FL 33759
Phone (727) 240-2088

26034 US Highway 19 N
Clearwater, FL 33763
Phone (727) 371-2500

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

851 Trafalgar Ct
Ste 200E
Maitland, FL 32751
Phone (321) 422-7155

6002 Berryhill Rd
Milton, FL 32570
Phone (850) 474-8688

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

366 Beverly Ct
Fl Spgs
Spring Hill, FL 34606
Phone (352) 600-0220

1395 S Pinellas Ave
Tarpon Springs, FL 34689
Phone (727) 942-5000

1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333

6733 Gall Blvd
Zephyrhills, FL 33542
Phone (813) 783-8242

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1332720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1306112206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N TUSTIN AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053807",
            "telephone_number": "714-347-1010",
            "fax_number": "714-647-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9920 TALBERT AVE",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927085153",
            "telephone_number": "714-378-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEATHERS",
        "first_name": "SHAMILA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-26",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME143712",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A 120506",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAMILA",
            "last_name": "MOKFI",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fountain Valley, CA

Sources for this page

Verify at the official NPI Registry.