Organization Active NPI

Shailesh Joshi MD PLLC

  • Internal Medicine Physician
  • Sebring, FL
National Provider Identifier
1366810681
Registry record updated Jan 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME64867 Issued in FL
Legal business name
SHAILESH JOSHI MD PLLC
Practice address
6801 US Highway 27 N Ste D1
Sebring, FL 33870-1046
Phone
(863) 385-8505
Fax
(863) 658-6848
NPI assigned
Sep 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2021

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

Authorized official

Name
Dr. Shailesh Joshi, M.D.NPI 1023033040
Title
Owner
Phone
(863) 314-0001

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME64867 FL Primary

Addresses

Primary practice location

6801 US Highway 27 N Ste D1
Sebring, FL 33870-1046

Mailing address

6801 US Highway 27 N Ste D1
Sebring, FL 33870-1046
Phone (863) 385-8505

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151201000851 FL Part B Supplier - Clinic/Group Practice 1759681554 Receives reassigned benefits from 1 practitioner
Practice locations: Sebring, FL

National Provider Directory

National Provider Directory

Locations

4409 Sun N Lake Blvd
Ste E
Sebring, FL 33872
Phone (863) 314-0001

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13032/brand/1/csg/1/fhir/r4

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": "1441152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609804800000",
    "number": "1366810681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 US HIGHWAY 27 N STE D1",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338701046",
            "telephone_number": "863-385-8505",
            "fax_number": "863-658-6848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 US HIGHWAY 27 N STE D1",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338701046",
            "telephone_number": "863-385-8505",
            "fax_number": "863-658-6848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAILESH JOSHI MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-02",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A",
        "authorized_official_last_name": "JOSHI",
        "authorized_official_first_name": "SHAILESH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-314-0001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME64867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebring, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; 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.