Shady Saikali, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

36314 Issued in FL

Practice address

380 Celebration PL Ste 401
Kissimmee, FL 34747-4606

Phone

(407) 303-4673

NPI assigned

Jul 18, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shady.saikali2@adventhealth.com

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.

• Advent Health

  • Urology Physician
  • Celebration, FL
  • NPI 1215591565
  NPD
• Florida Hospital Medical Group Inc

  • Family Medicine Physician
  • Orlando, FL
  • NPI 1225034234
  NPD (past)

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

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1356076087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2955 MALLORY CIR APT 5304",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347471841",
            "telephone_number": "863-558-2548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 CELEBRATION PL STE 401",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347474606",
            "telephone_number": "407-303-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAIKALI",
        "first_name": "SHADY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-18",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "36314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Shady.Saikali2@adventhealth.com",
            "affiliation": "N",
            "address_1": "380 Celebration Pl Ste 401",
            "city": "Kissimmee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347474606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sage Dental of Poinciana, PLLC
• Sage Dental of the Loop PLLC
• Henriette Saget Normil, AP
• Dale Sagotsky, LMHC
• Asis Kumar Saha, MD PA
• Sathvik Saineni, MD
• Marie M Saint Fleur
• James Christopher Sainvil
• Martine S Sainvilus, MD
• Aimee Saitta

• Urology Physician in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Urology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.