Organization Active NPI

Tasmina Sheikh M D P a

  • Psychiatry Physician
  • Jupiter, FL
National Provider Identifier
1366567166
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME0080404 Issued in FL
Legal business name
TASMINA SHEIKH M D P A
Practice address
4600 Military Trail
Ste 221
Jupiter, FL 33458-4813
Phone
(561) 625-9695
Fax
(561) 625-9745
NPI assigned
Mar 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Tasmina Sheikh, MDNPI 1659376150
Title
Owner
Phone
(561) 625-9695

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X ME0080404 FL Primary

Addresses

Primary practice location

4600 Military Trail
Ste 221
Jupiter, FL 33458-4813

Mailing address

4600 Military Trail
Ste 221
Jupiter, FL 33458-4813
Phone (561) 625-9695

Other identifiers 3

IdentifierTypeStateIssuer
06027OtherFLBCBS
262302100MedicaidFL
ME0080404OtherFLFL LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070503000061 FL Part B Supplier - Clinic/Group Practice 7618073917 Receives reassigned benefits from 1 practitioner
Practice locations: Jupiter, FL

National Provider Directory

National Provider Directory

Locations

4600 Military Trl
Ste 221
Jupiter, FL 33458
Phone (561) 562-5969

Practitioners & affiliated clinicians

Practitioners 2

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": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1366567166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MILITARY TRAIL",
            "address_2": "STE 221",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334584813",
            "telephone_number": "561-625-9695",
            "fax_number": "561-625-9745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 MILITARY TRAIL",
            "address_2": "STE 221",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334584813",
            "telephone_number": "561-625-9695",
            "fax_number": "561-625-9745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TASMINA SHEIKH M D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "SHEIKH",
        "authorized_official_first_name": "TASMINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-625-9695",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME0080404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "06027",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262302100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL LICENSE",
            "identifier": "ME0080404",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.