Individual provider Active NPI

Sohrab Shafii, MD

  • Obstetrics & Gynecology Physician
  • Tampa, FL
National Provider Identifier
1467466219
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME28697 Issued in FL
Practice address
1513 W Busch Blvd
Tampa, FL 33612-7603
Phone
(813) 684-2229
Fax
(813) 413-8516
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME28697 FL Primary

Addresses

Primary practice location

1513 W Busch Blvd
Tampa, FL 33612-7603

Mailing address

1513 W Busch Blvd
Tampa, FL 33612-7603
Phone (813) 684-2229

Other identifiers 5

IdentifierTypeStateIssuer
00656OtherWELLCARE
039228600MedicaidFL
233593OtherAVMED
160000216OtherRAILROAD MEDICARE
30296OtherFLBLUE CROSS BLUE SHIELD

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
I20120503000418 FL Practitioner - Obstetrics/Gynecology 9537321765 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME28697FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Physician Group Inc Obstetrics & Gynecology CurrentSince Jan 1, 2021 Accepting new patients
Sohrab Shafii MD PA Obstetrics & Gynecology Past Accepting new patients

Locations

505 Oakfield Dr
Brandon, FL 33511
Phone (813) 676-2273

401 Oakfield Dr
Brandon, FL 33511
Phone (813) 467-4725

1513 W Busch Blvd
Tampa, FL 33612
Phone (813) 738-6683

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

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.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1467466219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 W BUSCH BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336127603",
            "telephone_number": "813-684-2229",
            "fax_number": "813-413-8516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 W BUSCH BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336127603",
            "telephone_number": "813-684-2229",
            "fax_number": "813-413-8516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFII",
        "first_name": "SOHRAB",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME28697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "00656",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039228600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "233593",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "160000216",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "30296",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.