Organization Active NPI

Shahida Bashir MD PA

  • Pulmonary Disease Physician
  • Delray Beach, FL
National Provider Identifier
1356682181
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME108007 Issued in FL
Legal business name
SHAHIDA BASHIR MD PA
Practice address
13455 S Military TRL Ste a
Delray Beach, FL 33484-1323
Phone
(561) 424-3180
Fax
(561) 300-2531
NPI assigned
Mar 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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

Authorized official

Name
Shahida Bashir, M.D.NPI 1508074063
Title
President/Physician
Phone
(561) 424-3180

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0200X ME108007 FL
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X ME108007 FL Primary
Sleep Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RS0012X ME108007 FL

Addresses

Primary practice location

13455 S Military TRL Ste a
Delray Beach, FL 33484-1323

Mailing address

13455 S Military TRL Ste a
Delray Beach, FL 33484-1323
Phone (561) 424-3180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130417000184 FL Part B Supplier - Clinic/Group Practice 2062658016 Receives reassigned benefits from 1 practitioner
Practice locations: Boynton Beach, FL; Palm Springs, FL; Lake Worth, FL; Delray Beach, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1362355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663027200000",
    "number": "1356682181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13455 S MILITARY TRL STE A",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334841323",
            "telephone_number": "561-424-3180",
            "fax_number": "561-300-2531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13455 S MILITARY TRL STE A",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334841323",
            "telephone_number": "561-424-3180",
            "fax_number": "561-300-2531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAHIDA BASHIR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-04",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A",
        "authorized_official_last_name": "BASHIR",
        "authorized_official_first_name": "SHAHIDA",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "561-424-3180",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "FL",
            "license": "ME108007",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME108007",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "FL",
            "license": "ME108007",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.