Individual provider Active NPI

Talha Shamim, M.D.

  • Internal Medicine Physician
  • Ocoee, FL
National Provider Identifier
1376573295
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME102917 Issued in FL
Practice address
1144 Kelton Ave Ste 1009
Ocoee, FL 34761-3175
Phone
(407) 553-8030
Fax
(407) 553-8035
NPI assigned
Jul 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X ME102917 FL
Internal Medicine Physician 207R00000X ME102917 FL Primary

Addresses

Primary practice location

1144 Kelton Ave Ste 1009
Ocoee, FL 34761-3175

Mailing address

1144 Kelton Ave Ste 1009
Ocoee, FL 34761-3175
Phone (407) 553-8030

Other identifiers 1

IdentifierTypeStateIssuer
003171300MedicaidFL

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
I20110215000024 FL Practitioner - Internal Medicine 1052203320 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Adventhealth Bond Clinic, Inc.Group PAC ID 2264931294, 87 clinicians

Practice addresses (Care Compare)

1144 Kelton Ave
Suite 1009
Ocoee, FL 34761-3175
Phone (407) 553-8030

500 E Central Ave
Winter Haven, FL 33880-3053
Phone (863) 293-1191

Hospital & facility affiliations

  • Winter Haven Hospital Hospital, Winter Haven, FL, CCN 100052
  • Exalt Health Rehabilitation Hospital Lakeland Inpatient rehabilitation facility, Auburndale, FL, CCN 103075
  • Groves Center Nursing home, Lake Wales, FL, CCN 105269
  • Haines City Rehabilitation and Nursing Center Nursing home, Haines City, FL, CCN 105442

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME102917FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bond Clinic PA Internal Medicine CurrentSince Jan 17, 2011 Accepting new patients
Poinciana Internal Medicine PA Internal Medicine CurrentSince Jan 2, 2014 Accepting new patients
Astha Health Hospitalist CurrentSince Feb 6, 2024 Accepting new patients
Adventhealth Bond Clinic, Inc. CurrentSince Jul 1, 2025 Accepting new patients
Adventhealth Bond Clinic, Inc. Internal Medicine CurrentSince Jul 1, 2025 Accepting new patients
Florida Medical Associates LLC CurrentSince Jan 1, 2022 Accepting new patients
Mid Florida Hospital Specialists PA Internal Medicine CurrentSince Sep 1, 2023 Accepting new patients
Bond Clinic PA Internal Medicine CurrentSince Jan 17, 2011 Accepting new patients
Bond Urgent Care LLC Past Accepting new patients

Locations

804 Emmett St
Kissimmee, FL 34741
Phone (407) 449-4559

339 Cypress Pkwy
Ste 250
Kissimmee, FL 34759
Phone (305) 849-4540

13940 N US Highway 441
Ste 102
Lady Lake, FL 32159
Phone (352) 509-9900

1144 Kelton Ave
Unit 1009
Ocoee, FL 34761

1144 Kelton Ave
Ste 1009
Ocoee, FL 34761
Phone (321) 250-1850

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

601 S Harbour Island Blvd
Ste 200
Tampa, FL 33602
Phone (727) 322-3439

500 E Central Ave
Winter Haven, FL 33880
Phone 86329311913286

200 Avenue F NE
Winter Haven, FL 33881
Phone (863) 292-4652

5717 Red Bug Lake Rd
Winter Springs, FL 32708
Phone (321) 207-0172

Interoperability endpoints

  • Direct secure messaging: tshamim1530382@adventhealth.direct-ci.com
  • Direct secure messaging: talha.shamim.p1@direct.bondclinicpa.nextgenshare.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/FJJCDD/Endpoint/FJJCDD

Organizations & group practices 10

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1376573295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1144 KELTON AVE STE 1009",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347613175",
            "telephone_number": "407-553-8030",
            "fax_number": "407-533-8035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1144 KELTON AVE STE 1009",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347613175",
            "telephone_number": "407-553-8030",
            "fax_number": "407-553-8035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMIM",
        "first_name": "TALHA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME102917",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME102917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003171300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocoee, FL

Sources for this page

Verify at the official NPI Registry.