Active NPI
Sandra J Sha, MD
- Radiation Oncology Physician
- Lakeland, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- ME85391
- Practice address
- 1730 Lakeland Hills Blvd
Lakeland, FL 33805 - Phone
- (863) 603-4770
- Fax
- (866) 264-8519
- NPI assigned
- Feb 3, 2006
- Last updated
- Nov 27, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | ME85391 | FL | Primary |
Addresses
Primary practice location
1730 Lakeland Hills Blvd
Lakeland, FL 33805
Mailing address
1600 Lakeland Hills Blvd
Lakeland, FL 33805-3019
Phone (863) 680-7000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ssha6655@direct.watsonclinicad.com | Watson Clinic LLP |
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
- Radiation Oncology
- Education
- Tufts University School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1730 Lakeland Hills Blvd
Lakeland, FL 33805-3013
Phone (863) 680-7780
2 State Rd 60
Lake Wales, FL 33853-4118
Phone (863) 679-2960
22 State Rd 60
Lake Wales, FL 33853-4118
Phone (863) 679-2960
40107 Hwy 27
Davenport, FL 33837
Phone (863) 419-0692
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.18 of 100
- Quality
- 70.68
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME85391 | FL | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Florida Cancer Institute PA | Current | Accepting new patients | |
| Central Florida Cancer Institute PA | Current | Accepting new patients | |
| Watson Clinic LLP | Current | Accepting new patients | |
| Lakeland Regional Health Systems, Inc. | Current | Accepting new patients | |
| Tampa Bay Radiation Oncology, PA | Radiation Oncology | Past | Accepting new patients |
| Heysek & Kepes MDS PA | Radiation Oncology | Past | Accepting new patients |
| NMC LLC | Radiation Oncology | Past | Accepting new patients |
| Central Florida Cancer Institute PA | Radiation Oncology | Past | Accepting new patients |
Locations
40107 Highway 27
Davenport, FL 33837
Phone (863) 419-0692
1420 Celebration Blvd
Ste 308
Kissimmee, FL 34747
Phone (407) 566-9899
2 State Road 60 W
Lake Wales, FL 33853
Phone (863) 679-2960
130 Pablo St
Lakeland, FL 33803
Phone (863) 284-5064
1430 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 680-7337
1600 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 680-7190
1730 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 284-5040
3525 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 603-6565
5135 US Highway 98 N
Lakeland, FL 33809
Phone (941) 284-5998
3650 Emergency Ln
Sebring, FL 33870
Phone (800) 382-8345
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- https://api.platform.athenahealth.com/20634/brand/1/csg/1/fhir/r4
- https://fhir-myrecord.cerner.com/r4/_equjXi-I6k5_iN9ulQyh3xNMVDgQ7-w/
- sha@cfcancerinst.direct.varian.com
- ssha6655@direct.watsonclinicad.com
Organizations & group practices 8
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.
-
- Multi-Specialty Clinic/Center
- Celebration, FL
- NPI 1306870092
-
- Internal Medicine Physician
- Lakeland, FL
- NPI 1316940695
-
- Multi-Specialty Clinic/Center
- Lakeland, FL
- NPI 1497748743
-
- Multi-Specialty Clinic/Center
- Davenport, FL
- NPI 1235478603
-
- Multi-Specialty Clinic/Center
- Lake Wales, FL
- NPI 1780923151
Radiation Oncology
-
dba Plant City Cancer Treatment Center
- Radiation Oncology Physician
- Plant City, FL
- NPI 1386649002
-
dba New Millennium CyberKnife Center
- Radiation Oncology Physician
- Brandon, FL
- NPI 1629229646
-
- Radiation Oncology Physician
- Brandon, FL
- NPI 1376511089
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lakeland Regional Medical Center
- General Acute Care Hospital
- Lakeland, FL
- NPI 1144228446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1396717328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 LAKELAND HILLS BLVD",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338053019",
"telephone_number": "863-680-7000",
"fax_number": "866-264-8519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1730 LAKELAND HILLS BLVD",
"city": "LAKELAND",
"state": "FL",
"postal_code": "33805",
"telephone_number": "863-603-4770",
"fax_number": "866-264-8519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHA",
"first_name": "SANDRA",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-03",
"last_updated": "2023-11-27",
"certification_date": "2020-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "FL",
"license": "ME85391",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ssha6655@direct.watsonclinicad.com",
"affiliation": "Y",
"endpointDescription": "Direct Messaging Address",
"affiliationName": "Watson Clinic LLP",
"address_1": "1430 Lakeland Hills Blvd",
"city": "Lakeland",
"state": "FL",
"country_code": "US",
"postal_code": "338053202",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.