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

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.

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 (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 100 (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

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

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS16706FLMDObstetrics & Gynecology Physician

Practice roles (2 of 4)

OrganizationSpecialtyStatusNew patients
Florida Woman Care, LLC Obstetrics & Gynecology Current
since 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) 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

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 13, 2020.

{
    "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

All providers in Trinity, FL · Obstetrics & Gynecology Physician in Florida

Sources for this page

Verify at the official NPI Registry.