Individual provider Active NPI

Shahida Bashir, MD

  • Specialist
  • Delray Beach, FL
National Provider Identifier
1508074063
Registry record updated Jun 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
22024 Issued in WV
Practice address
13455 S Military TRL Ste a
Delray Beach, FL 33484-1323
Phone
(561) 424-3180
Fax
(561) 300-2531
NPI assigned
May 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 22024 WV Primary

Addresses

Primary practice location

13455 S Military TRL Ste a
Delray Beach, FL 33484-1323

Mailing address

13455 S Military TRL Ste a
Delray Beach, FL 33484-1323
Phone (561) 424-3180

Other practice location 1

10075 S Jog Rd
Suite 200
Boynton Beach, FL 33437-3535
Phone (561) 424-3180

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
I20111005000144 FL Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 1254503733 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2815 S Seacrest Blvd
Boynton Beach, FL 33435-7969
Phone (561) 737-7733

Hospital & facility affiliations

  • Bethesda Hospital East Hospital, Boynton Beach, FL, CCN 100002
  • Delray Medical Center Hospital, Delray Beach, FL, CCN 100258

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22024WVMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Intensive Care Experts Health Network LLC CurrentSince Mar 9, 2026 Accepting new patients
Critical Care Associates of South Florida LLC CurrentSince Aug 21, 2011 Accepting new patients
Intensive Care Experts Health Network LLC CurrentSince Mar 9, 2026 Accepting new patients
Shahida Bashir MD PA CurrentSince Apr 1, 2013 Accepting new patients

Locations

800 Meadows Rd
Boca Raton, FL 33486
Phone (561) 395-7100

10075 S Jog Rd
Ste 200
Boynton Beach, FL 33437
Phone (561) 733-8580

2815 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 732-1277

13455 S Military Trl
Ste A
Delray Beach, FL 33484
Phone (561) 288-6153

701 N Federal Hwy
Ste 601
Hallandale Beach, FL 33009
Phone (954) 573-2195

Interoperability endpoints

  • Direct secure messaging: shahida.bashir@241.emedpractice.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1508074063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13455 S MILITARY TRL STE A",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334841323",
            "telephone_number": "561-424-3180",
            "fax_number": "561-300-2531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13455 S MILITARY TRL STE A",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334841323",
            "telephone_number": "561-424-3180",
            "fax_number": "561-300-2531"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10075 S Jog Rd",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334373535",
            "country_code": "US",
            "telephone_number": "561-424-3180",
            "fax_number": "561-300-2531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASHIR",
        "first_name": "SHAHIDA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WV",
            "license": "22024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.