Individual provider Active NPI

Shazia Zia, M.D

  • Specialist
  • New Port Richey, FL
National Provider Identifier
1417904392
Registry record updated Jun 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME 91063 Issued in FL
Practice address
5824 State Road 54
Suite 102
New Port Richey, FL 34652-6002
Phone
(727) 874-7474
Fax
(727) 847-1877
NPI assigned
May 27, 2006
Last updated
Jun 19, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME 91063 FL Primary

Addresses

Primary practice location

5824 State Road 54
Suite 102
New Port Richey, FL 34652-6002

Mailing address

5824 State Road 54
Suite 102
New Port Richey, FL 34652-6002
Phone (727) 874-7474

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
I20060926000492 FL Practitioner - Psychiatry 7113922139 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5824 State Rd
Suite 102
New Port Richey, FL 34652-6061
Phone (727) 847-7474

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 91063FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
West Coast Behavioral Health,LLC CurrentSince Jun 13, 2006 Accepting new patients

Locations

5824 State Road 54
Ste 102
New Port Richey, FL 34652
Phone (727) 847-7474

Organizations & group practices 1

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": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434672000000",
    "number": "1417904392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5824 STATE ROAD 54",
            "address_2": "SUITE 102",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346526002",
            "telephone_number": "727-874-7474",
            "fax_number": "727-847-1877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5824 STATE ROAD 54",
            "address_2": "SUITE 102",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346526002",
            "telephone_number": "727-874-7474",
            "fax_number": "727-847-1877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIA",
        "first_name": "SHAZIA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-27",
        "last_updated": "2015-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME 91063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

Verify at the official NPI Registry.