Active NPI
Talha Shamim, M.D.
- Internal Medicine Physician
- Ocoee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME102917
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003171300 | Medicaid | FL |
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
Enrollment records 1
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
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
- Exalt Health Rehabilitation Hospital Lakeland
- Groves Center
- Haines City Rehabilitation and Nursing Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME102917 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bond Clinic PA | Internal Medicine | Current | Accepting new patients |
| Poinciana Internal Medicine PA | Internal Medicine | Current | Accepting new patients |
| Astha Health | Hospitalist | Current | Accepting new patients |
| Adventhealth Bond Clinic, Inc. | Current | Accepting new patients | |
| Adventhealth Bond Clinic, Inc. | Internal Medicine | Current | Accepting new patients |
| Florida Medical Associates LLC | Current | Accepting new patients | |
| Mid Florida Hospital Specialists PA | Internal Medicine | Current | Accepting new patients |
| Bond Clinic PA | Internal Medicine | Current | 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
- tshamim1530382@adventhealth.direct-ci.com
- talha.shamim.p1@direct.bondclinicpa.nextgenshare.com
- 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.
-
- Internal Medicine Physician
- Winter Haven, FL
- NPI 1558150755
-
- Internal Medicine Physician
- Ocoee, FL
- NPI 1063841567
-
- Hospitalist Physician
- Kissimmee, FL
- NPI 1619611241
-
- Internal Medicine Physician
- Winter Haven, FL
- NPI 1881639193
-
- Primary Care Clinic/Center
- Lady Lake, FL
- NPI 1336153709
-
- Internal Medicine Physician
- Winter Springs, FL
- NPI 1588675912
-
- Internal Medicine Physician
- Lake Mary, FL
- NPI 1649228859
-
- Prosthetic/Orthotic Supplier
- Winter Haven, FL
- NPI 1053294678
-
- Internal Medicine Physician
- Winter Haven, FL
- NPI 1992565766
-
- Urgent Care Clinic/Center
- Winter Haven, FL
- NPI 1235641739
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital
- Auburndale, FL
- NPI 1053289025
Inpatient rehabilitation facility
-
- Skilled Nursing Facility
- Lake Wales, FL
- NPI 1942204771
Nursing home
-
- General Acute Care Hospital
- Winter Haven, FL
- NPI 1477599975
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.