Organization Active NPI

Husam E. Shuayb MD PA

  • Specialist
  • Brooksville, FL
National Provider Identifier
1477855385
Registry record updated May 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME038075 Issued in FL
Legal business name
HUSAM E. SHUAYB MD PA
Practice address
11373 Cortez Blvd
Suite 306
Brooksville, FL 34613-5411
Phone
(352) 596-6264
NPI assigned
Nov 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2013

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

Authorized official

Name
Husam ShuaybNPI 1922041284
Title
MD
Phone
(352) 596-6264

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X ME038075 FL Primary

Addresses

Primary practice location

11373 Cortez Blvd
Suite 306
Brooksville, FL 34613-5411

Mailing address

11373 Cortez Blvd
Suite 306
Brooksville, FL 34613-5414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120411000144 FL Part B Supplier - Clinic/Group Practice 9133317522 Receives reassigned benefits from 1 practitioner
Practice locations: Brooksville, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1290988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368057600000",
    "number": "1477855385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11373 CORTEZ BLVD",
            "address_2": "SUITE 306",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346135414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11373 CORTEZ BLVD",
            "address_2": "SUITE 306",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346135411",
            "telephone_number": "352-596-6264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUSAM E. SHUAYB MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-29",
        "last_updated": "2013-05-09",
        "status": "A",
        "authorized_official_last_name": "SHUAYB",
        "authorized_official_first_name": "HUSAM",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "352-596-6264"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME038075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooksville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.