Individual provider Active NPI

Shyamal Bir, MD

  • Neurology Physician
  • Tallahassee, FL
National Provider Identifier
1407388804
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME156352 Issued in FL
Practice address
1401 Centerville Rd Ste 504
Tallahassee, FL 32308-4640
Phone
(850) 431-5001
NPI assigned
Apr 3, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Neurology Physician 2084N0400X ME156352 FL Primary

Addresses

Primary practice location

1401 Centerville Rd Ste 504
Tallahassee, FL 32308-4640

Mailing address

1401 Centerville Rd Ste 504
Tallahassee, FL 32308-4640

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
I20220611000378 FL Practitioner - Neurology 5991061012 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2002
Medicare assignment
May accept Medicare assignment
Group practices
North Florida Rehab SolutionsGroup PAC ID 7618213646, 7 clinicians

Practice addresses (Care Compare)

1675 Riggins Rd
Tallahassee, FL 32308-5315
Phone (850) 727-4977

2473 Care Dr
Suite 102
Tallahassee, FL 32308-9815
Phone (850) 431-5001

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tallahassee Memorial Healthcare Inc Current Accepting new patients
Tallahassee Memorial Healthcare Inc Current Accepting new patients
North Florida Rehab Solutions CurrentSince Aug 1, 2023 Accepting new patients

Locations

1675 Riggins Rd
Tallahassee, FL 32308
Phone (850) 656-4800

Interoperability endpoints

  • Direct secure messaging: sbir21981@tallahasseememorial.direct-ci.com
  • Direct secure messaging: shyamalbir@tmhpp.allscriptsdirect.net

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1407388804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 CENTERVILLE RD STE 504",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 CENTERVILLE RD STE 504",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084640",
            "telephone_number": "850-431-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIR",
        "first_name": "SHYAMAL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-03",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME156352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.