Active NPI
Sheila Shuk-Yin Mak, D.O.
- Pediatrics Physician
- Tampa, FL
National Provider Identifier
1336436211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- OS12798
- Practice address
- 13115 W Linebaugh Ave Ste 101
Tampa, FL 33626-4493 - Phone
- (727) 306-9050
- Fax
- (656) 218-2401
- NPI assigned
- Jun 29, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 25MB08954300 | NJ | |
| Pediatrics Physician | 208000000X | OS015663 | PA | |
| Pediatrics Physician | 208000000X | OS12798 | FL | Primary |
Addresses
Primary practice location
13115 W Linebaugh Ave Ste 101
Tampa, FL 33626-4493
Mailing address
13115 W Linebaugh Ave Ste 101
Tampa, FL 33626-4493
Phone (727) 306-9050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 012933700 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS12798 | FL | MD | Pediatrics Physician |
| 25MB08954300 | NJ | MD | Pediatrics Physician |
| OS015663 | PA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vitalmd Group Holding LLC | Pediatrics | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736208000000",
"number": "1336436211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13115 W LINEBAUGH AVE STE 101",
"city": "TAMPA",
"state": "FL",
"postal_code": "336264493",
"telephone_number": "727-306-9050",
"fax_number": "656-218-2401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13115 W LINEBAUGH AVE STE 101",
"city": "TAMPA",
"state": "FL",
"postal_code": "336264493",
"telephone_number": "727-306-9050",
"fax_number": "656-218-2401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAK",
"first_name": "SHEILA",
"middle_name": "SHUK-YIN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-29",
"last_updated": "2025-01-07",
"certification_date": "2025-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "25MB08954300",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "OS015663",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "OS12798",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "012933700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.