Individual provider Active NPI

Shahzinah Nadeem, MD

  • Internal Medicine Physician
  • Clermont, FL
National Provider Identifier
1427090794
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME164380 Issued in FL
Practice address
17075 Cagan Ridge Blvd Ste 100
Clermont, FL 34714-9619
Phone
(863) 588-4775
Fax
(863) 422-7664
NPI assigned
Jun 12, 2006
Last updated
Jul 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME164380 FL Primary
Internal Medicine Physician 207R00000X 25MA06655400 NJ

Addresses

Primary practice location

17075 Cagan Ridge Blvd Ste 100
Clermont, FL 34714-9619

Mailing address

PO Box 878
Davenport, FL 33836-0878
Phone (689) 223-3898

Other practice location 1

2705 Maguire Rd
Ocoee, FL 34761-4797
Phone (863) 588-4775

Other practice location 2

221 Frontage Rd Unit G
Clermont, FL 34711-2431
Phone (863) 588-4775

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
I20240716000198 FL Practitioner - Internal Medicine 4587615091 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Soni Family Practice PLLCGroup PAC ID 8224274840, 11 clinicians

Practice addresses (Care Compare)

17075 Cagan Ridge Blvd
Suite 100
Clermont, FL 34714-9619
Phone (863) 588-4775

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME164380FLMDInternal Medicine Physician
25MA06655400NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Soni Family Practice, PLLC CurrentSince Jul 8, 2024 Accepting new patients
Belmar Healthcare Group LLC Past Accepting new patients
Complete Care at Mercerville LLC Past Accepting new patients
SFP PC Holdings, Inc. PastSince Jun 15, 2025 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Hamilton Grove Healthcare & Rehabilitation LLC Past Accepting new patients
Belmar Healthcare Group LLC Past Accepting new patients

Locations

17075 Cagan Ridge Blvd
Ste 100
Clermont, FL 34714

106 Park Place Blvd
Ste C
Davenport, FL 33837
Phone (863) 422-7664

2705 Maguire Rd
Ocoee, FL 34761
Phone (407) 574-2880

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: shahzinah.nadeem.1@6807.direct.athenahealth.com
  • Direct secure messaging: shahzinah.nadeem@central.ehi.direct-ci.com

Organizations & group practices 7

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 6

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1427090794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 878",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338360878",
            "telephone_number": "689-223-3898",
            "fax_number": "689-223-3898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17075 CAGAN RIDGE BLVD STE 100",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347149619",
            "telephone_number": "863-588-4775",
            "fax_number": "863-422-7664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2705 Maguire Rd",
            "address_purpose": "LOCATION",
            "city": "Ocoee",
            "state": "FL",
            "postal_code": "347614797",
            "country_code": "US",
            "telephone_number": "863-588-4775",
            "fax_number": "863-422-7664",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "221 Frontage Rd Unit G",
            "address_purpose": "LOCATION",
            "city": "Clermont",
            "state": "FL",
            "postal_code": "347112431",
            "country_code": "US",
            "telephone_number": "863-588-4775",
            "fax_number": "863-380-0029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NADEEM",
        "first_name": "SHAHZINAH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME164380",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA06655400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

Verify at the official NPI Registry.