Individual provider Active NPI

Shailja Thawani Dayal, DO

  • Obstetrics & Gynecology Physician
  • Trinity, FL
National Provider Identifier
1376906099
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
OS16706 Issued in FL
Practice address
2044 Trinity Oaks Blvd Ste 215
Trinity, FL 34655-4406
Phone
(727) 201-2766
NPI assigned
Mar 30, 2016
Last updated
Oct 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X OS16706 FL Primary

Addresses

Primary practice location

2044 Trinity Oaks Blvd Ste 215
Trinity, FL 34655-4406

Mailing address

2044 Trinity Oaks Blvd Ste 215
Trinity, FL 34655-4406

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
I20200714001525 FL Practitioner - Obstetrics/Gynecology 7719224120 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Lake Erie College of Osteopathic Medicine, Erie, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Woman Care LLCGroup PAC ID 5395807218, 607 clinicians

Practice addresses (Care Compare)

11031 Countryway Blvd
Tampa, FL 33626-2628
Phone (727) 376-0060

199 S US Hwy 17
East Palatka, FL 32131-6071
Phone (386) 325-6699

3000 Hunters Creek Blvd
Orlando, FL 32837-6901
Phone (407) 857-2502

3231 McMullen Booth Rd
Safety Harbor, FL 34695-6607
Phone (727) 725-6111

Merit-based Incentive Payment System (MIPS)

Final score
88.76 of 100Reported as group
Quality
84.84
Promoting interoperability
100
Improvement activities
40
Cost
77.7

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS16706FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Woman Care, LLC Obstetrics & Gynecology CurrentSince Sep 1, 2020 Accepting new patients
Womencare PA Past Accepting new patients

Locations

2815 S Seacrest Blvd
Ste 112
Boynton Beach, FL 33435
Phone (561) 368-0233

199 S US Highway 17
East Palatka, FL 32131
Phone (386) 325-6699

3000 Hunters Creek Blvd
Orlando, FL 32837
Phone (407) 487-2167

2044 Trinity Oaks Blvd
Ste 125
Trinity, FL 34655
Phone (727) 230-9508

2044 Trinity Oaks Blvd
Ste 215
Trinity, FL 34655
Phone (727) 230-9508

11031 Countryway Blvd
Westchase, FL 33626
Phone (813) 443-5650

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: shailja.dayal.1@2183.direct.athenahealth.com

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": "1459296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1376906099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2044 TRINITY OAKS BLVD STE 215",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346554406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2044 TRINITY OAKS BLVD STE 215",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346554406",
            "telephone_number": "727-201-2766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAYAL",
        "first_name": "SHAILJA",
        "middle_name": "THAWANI",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-30",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "OS16706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trinity, FL

Sources for this page

Verify at the official NPI Registry.