Individual provider Active NPI

Hassan Shahid, MD

  • Diagnostic Radiology Physician
  • San Antonio, TX
National Provider Identifier
1508090895
Registry record updated Jul 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME124294 Issued in FL
Practice address
4502 Medical Dr
San Antonio, TX 78229-4402
Phone
(210) 567-3448
NPI assigned
May 14, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME124294 FL Primary

Addresses

Primary practice location

4502 Medical Dr
San Antonio, TX 78229-4402

Mailing address

2125 Crystal Grove Dr
Lakeland, FL 33801-6875
Phone (863) 688-2334

Other identifiers 2

IdentifierTypeStateIssuer
340127501MedicaidTX
340127502OtherTXCSHCN

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
I20150724010552 FL Practitioner - Diagnostic Radiology 6406078419 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
West Virginia University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Scanning Consultants PAGroup PAC ID 9032005376, 82 clinicians
Diagnostic Centers of America, LLPGroup PAC ID 0547174120, 108 clinicians

Practice addresses (Care Compare)

1640 N Maitland Ave
Suite 1020
Maitland, FL 32751-3320
Phone (407) 363-2772

809 County Rd
466 Suite 400
Lady Lake, FL 32159-4205
Phone (352) 753-2660

809 County Rd 466
Suite 400
Lady Lake, FL 32159-4205
Phone (352) 753-2660

964 S Orlando Ave
Winter Park, FL 32789-4849
Phone (407) 628-5051

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

Practice roles

OrganizationSpecialtyStatusNew patients
Diagnostic Centers of America LLP Diagnostic Radiology CurrentSince Aug 14, 2023 Accepting new patients
Medical Scanning Consultants PA Diagnostic Radiology CurrentSince Mar 29, 2022 Accepting new patients
Manatee Memorial Hospital L P Current Accepting new patients
Medical Scanning Consultants PA Diagnostic Radiology CurrentSince Mar 29, 2022 Accepting new patients
Diagnostic Centers of America LLP Diagnostic Radiology CurrentSince Aug 14, 2023 Accepting new patients
Manatee Memorial Hospital LP CurrentSince Feb 25, 2018 Accepting new patients
Women'S Care Florida LLC CurrentSince Feb 1, 2016 Accepting new patients
Manatee Memorial Hospital L P CurrentSince Feb 25, 2018 Accepting new patients
Boca Radiology Group PA Diagnostic Radiology Past Accepting new patients
Innovative Radiology PA Diagnostic Radiology Past Accepting new patients
Radiology & Imaging Specialists of Lakeland, PA Diagnostic Radiology PastSince Dec 29, 2024 Accepting new patients
Radiology & Imaging Specialists of Lakeland, PA Diagnostic Radiology PastSince Sep 20, 2022 Accepting new patients

Locations

6080 Boynton Beach Blvd
Ste 140
Boynton Beach, FL 33437
Phone (561) 736-3227

250 2nd St E
Bradenton, FL 34208
Phone (941) 708-8152

206 2nd St E
Bradenton, FL 34208
Phone (941) 745-7202

5506 14th St W
Bradenton, FL 34207
Phone (941) 745-7372

1640 N Maitland Ave
#1020
Maitland, FL 32751
Phone (407) 363-2772

1781 Park Center Dr
Ste 110
Orlando, FL 32835
Phone (407) 253-7190

9350 Turkey Lake Rd
Ste 100
Orlando, FL 32819
Phone (407) 363-2772

1000 W Broadway St
Ste 140
Oviedo, FL 32765
Phone (407) 359-6001

3601 Pga Blvd
Ste 100
Palm Beach Gardens, FL 33410

2818 W Virginia Ave
Tampa, FL 33607
Phone (813) 872-8551

2102 Trinity Oaks Blvd
#171
Trinity, FL 34655
Phone (727) 376-7734

16504 US 301 S
Wimauma, FL 33598
Phone (813) 642-1000

964 S Orlando Ave
Winter Park, FL 32789
Phone (407) 628-5051

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1242259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437609600000",
    "number": "1508090895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 CRYSTAL GROVE DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338016875",
            "telephone_number": "863-688-2334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 MEDICAL DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294402",
            "telephone_number": "210-567-3448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHID",
        "first_name": "HASSAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-14",
        "last_updated": "2015-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME124294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340127501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN",
            "identifier": "340127502",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.