Individual provider Active NPI

Amjad A Shaikh, PA

  • Physician Assistant
  • Longwood, FL
National Provider Identifier
1346589884
Registry record updated Feb 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PAT9107093 Issued in FL
Practice address
450 W Sr 434 Ste 3010
Longwood, FL 32750-5196
Phone
(407) 767-8200
Fax
(407) 339-1200
NPI assigned
Feb 4, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PAT9107093 FL Primary

Addresses

Primary practice location

450 W Sr 434 Ste 3010
Longwood, FL 32750-5196

Mailing address

450 W Sr 434 Ste 3010
Longwood, FL 32750-5196
Phone (407) 767-8200

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141111000711 FL Practitioner - Physician Assistant 7911129788 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.13 of 100Reported as group
Quality
95.91
Improvement activities
40
Cost
75.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PAT9107093FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Marvel Psychiatric PLLC Physician Assistant PastSince May 21, 2026 Accepting new patients

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1359936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359936000000",
    "number": "1346589884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 W SR 434 STE 3010",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327505196",
            "telephone_number": "407-767-8200",
            "fax_number": "407-339-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 W SR 434 STE 3010",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327505196",
            "telephone_number": "407-767-8200",
            "fax_number": "407-339-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAIKH",
        "first_name": "AMJAD",
        "middle_name": "A",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-02-04",
        "last_updated": "2013-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PAT9107093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longwood, FL

Sources for this page

Verify at the official NPI Registry.