Individual provider Active NPI

Shemushi Nasreen, MD

  • Family Medicine Physician
  • Sun City Center, FL
National Provider Identifier
1366869687
Registry record updated Jul 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME135830 Issued in FL
Practice address
4874 Sun City Center Blvd
Sun City Center, FL 33573
Phone
(813) 633-2000
Fax
(813) 849-9301
NPI assigned
Mar 25, 2014
Last updated
Jul 16, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME135830 FL Primary

Addresses

Primary practice location

4874 Sun City Center Blvd
Sun City Center, FL 33573

Mailing address

4874 Sun City Center Blvd
Sun City Center, FL 33573-6281
Phone (813) 633-2000

Other practice location 1

37595 7 Mile Rd
Suite 210
Livonia, MI 48152-1003
Phone (734) 853-5660

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180829003847 FL Practitioner - Family Practice 2769703966 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95.07 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
83.57

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa Bay Family Physicians Inc Single Specialty CurrentSince Sep 1, 2018 Accepting new patients
Florida Medical Associates LLC Single Specialty PastSince Sep 14, 2026 Accepting new patients

Locations

4874 Sun City Center Blvd
Sun City Center, FL 33573
Phone (813) 419-1220

5113 State Road 674
Ste 103
Wimauma, FL 33598
Phone (813) 633-2000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BIBBCA

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1395705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531699200000",
    "number": "1366869687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4874 SUN CITY CENTER BLVD",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335736281",
            "telephone_number": "813-633-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4874 SUN CITY CENTER BLVD",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "33573",
            "telephone_number": "813-633-2000",
            "fax_number": "813-849-9301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "37595 7 Mile Rd",
            "address_2": "Suite 210",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "MI",
            "postal_code": "481521003",
            "country_code": "US",
            "telephone_number": "734-853-5660",
            "fax_number": "734-853-5697",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NASREEN",
        "first_name": "SHEMUSHI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-25",
        "last_updated": "2018-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME135830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City Center, FL

Sources for this page

Verify at the official NPI Registry.