Shailja Thawani Dayal, DO
Individual provider Active NPI Obstetrics & Gynecology Physician · Trinity, FL
NPI 1376906099 · NPPES record last updated Oct 13, 2020
Key facts
- NPI
- 1376906099
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- OS16706 (FL)
- Practice address
- 2044 Trinity Oaks Blvd Ste 215
Trinity, FL 34655-4406 - Phone
- (727) 201-2766
- NPI assigned
- Mar 30, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- 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 LLC
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 100
- Quality
- 84.84
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.7
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200714001525 | FL | Practitioner - Obstetrics/Gynecology | 7719224120 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS16706 | FL | MD | Obstetrics & Gynecology Physician |
Practice roles (2 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Woman Care, LLC | Obstetrics & Gynecology | Current |
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) 337-8814
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
- shailja.dayal.1@2183.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | OS16706 | FL | Yes |
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
NPI Registry JSON
{
"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
- David Payne & Associates, LLC
- Alfredo Davila-Rivera
- Alexander R Davis
- Shana Suzanne Davis
- Kennedy Day
- Chase Decubellis
- Jon-Michael Degidio
- Kelle Christine Degroat
- Giovanni Dejesus
- Emily Ruth Delgado
All providers in Trinity, FL · Obstetrics & Gynecology Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 13, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.