Individual provider Active NPI

Mahendra R. Sheth, MD

  • Emergency Medicine Physician
  • Live Oak, FL
National Provider Identifier
1538186978
Registry record updated Jun 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME125970 Issued in FL
Practice address
1100 11TH St SW
Live Oak, FL 32064-3608
Phone
(386) 362-0800
Fax
(386) 362-7584
NPI assigned
Jul 15, 2006
Last updated
Jun 24, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME125970 FL Primary
Vascular Surgery Physician 2086S0129X MD16294 ME

Addresses

Primary practice location

1100 11TH St SW
Live Oak, FL 32064-3608

Mailing address

140 Academy St
Presque Isle, ME 04769-3102
Phone (207) 764-6310

Other practice location 1

922 E Call St
Starke, FL 32091-3616
Phone (904) 368-2300

Other practice location 2

368 NE Franklin St
Lake City, FL 32055-3088
Phone (386) 292-8000

Other practice location 3

140 Academy St
Presque Isle, ME 04769-3102
Phone (207) 764-6310

Other identifiers 1

IdentifierTypeStateIssuer
1538186978MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NM2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160607000373 FL Practitioner - Vascular SurgeryPractitioner - General SurgeryPractitioner - Emergency Medicine 3274427596 Reassigns benefits to 9 organizations
I20170227002222 NM Practitioner - Vascular Surgery 3274427596 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD16294MEMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Boynton Urgent Care, LLC Emergency Medicine CurrentSince Mar 23, 2021 Accepting new patients
Southland EMS at Weems PL Emergency Medicine CurrentSince May 24, 2016 Accepting new patients
Panhandle Emergency Physicians a Div of Sacred Heart Hosp Pensacola Emergency Medicine CurrentSince Sep 15, 2016 Accepting new patients
Carespot of Orlando Hsi Urgent Care LLC Emergency Medicine CurrentSince Aug 14, 2020 Accepting new patients
Northwest Florida Healthcare, Inc CurrentSince Mar 31, 2016 Accepting new patients
Hospitalist Medicine Physicians of New Mexico - Clovis, LLC Emergency Medicine CurrentSince Nov 1, 2022 Accepting new patients
Curry Emergency Group LLC Emergency Medicine CurrentSince Jan 17, 2017 Accepting new patients
Shands/Solantic Joint Venture, LLC CurrentSince Aug 14, 2020 Accepting new patients
Northwest Florida Healthcare, Inc CurrentSince Mar 31, 2016 Accepting new patients
Hma/Solantic Joint Venture, LLC CurrentSince Mar 23, 2021 Accepting new patients
Southland Hospitalist at Weems PL Emergency Medicine CurrentSince Apr 13, 2016 Accepting new patients
Solantic/South Florida, LLC CurrentSince Mar 23, 2021 Accepting new patients
Michael a Rowley MD PA Past Accepting new patients
Horizons Health Services Past Accepting new patients
Park Slope Medical Office PC Past Accepting new patients

Locations

135 Avenue G
Apalachicola, FL 32320
Phone (850) 653-8853

3840 State Road 436
Ste 1
Apopka, FL 32703
Phone (407) 478-3202

8756 Boynton Rd W
Ste 150
Boynton Beach, FL 33472
Phone (561) 740-2273

1360 Brickyard Rd
Chipley, FL 32428
Phone (850) 415-8300

1205 N University Dr
Coral Springs, FL 33071
Phone (954) 780-8134

720 SW 2nd Ave
Ste 160A
Gainesville, FL 32601
Phone (352) 240-8000

136 Parliament Loop
Ste 1020
Lake Mary, FL 32746
Phone (407) 333-0160

18706 NW 67th Ave
Miami Gardens, FL 33015
Phone (786) 563-0280

2415 SW College Rd
Ocala, FL 34471
Phone (352) 237-3536

9035 Pines Blvd
Pembroke Pines, FL 33024
Phone (954) 340-5881

5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700

3801 E Highway 98
Port St Joe, FL 32456
Phone (850) 229-5600

784 E Prima Vista Blvd
Port St Lucie, FL 34952
Phone (772) 878-7311

1820 58th Ave
Ste 110
Vero Beach, FL 32966
Phone (772) 257-3200

2100 N Mlk Blvd
Clovis, NM 88101
Phone (505) 769-2141

4900 N Lovington Hwy
Hobbs, NM 88240
Phone (575) 492-5000

4801 Beckner Rd
#F
Santa Fe, NM 87507
Phone (505) 772-1234

301 E Miel de Luna Ave
Tucumcari, NM 88401
Phone (575) 461-7000

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: mahendra.sheth.1@9582.direct.athenahealth.com

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561334400000",
    "number": "1538186978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 ACADEMY ST",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047693102",
            "telephone_number": "207-764-6310",
            "fax_number": "207-764-6993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 11TH ST SW",
            "city": "LIVE OAK",
            "state": "FL",
            "postal_code": "320643608",
            "telephone_number": "386-362-0800",
            "fax_number": "386-362-7584"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "922 E Call St",
            "address_purpose": "LOCATION",
            "city": "Starke",
            "state": "FL",
            "postal_code": "320913616",
            "country_code": "US",
            "telephone_number": "904-368-2300",
            "fax_number": "904-368-2306",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "368 NE Franklin St",
            "address_purpose": "LOCATION",
            "city": "Lake City",
            "state": "FL",
            "postal_code": "320553088",
            "country_code": "US",
            "telephone_number": "386-292-8000",
            "fax_number": "904-754-8121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "140 Academy St",
            "address_purpose": "LOCATION",
            "city": "Presque Isle",
            "state": "ME",
            "postal_code": "047693102",
            "country_code": "US",
            "telephone_number": "207-764-6310",
            "fax_number": "207-764-6993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHETH",
        "first_name": "MAHENDRA",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2019-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME125970",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "ME",
            "license": "MD16294",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1538186978",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Live Oak, FL

Sources for this page

Verify at the official NPI Registry.