NPIMap

Individual provider Active NPI

Michael S. Shahla, M.D.

  • Internal Medicine Physician
  • Naples, FL
National Provider Identifier
1548480270
Registry record updated Oct 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME99285 Issued in FL
Practice address
10621 Airport Pulling Rd N
Suite 1
Naples, FL 34109-1599
Phone
(239) 330-9999
Fax
(239) 330-1473
NPI assigned
Apr 26, 2007
Last updated
Oct 23, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME99285 FL Primary

Addresses

Primary practice location

10621 Airport Pulling Rd N
Suite 1
Naples, FL 34109-1599

Mailing address

10621 Airport Pulling Rd N
Suite 1
Naples, FL 34109-7333
Phone (239) 330-9999

Other names 1

  • Dr. Sateah Shahla Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080220000370 FL Practitioner - Internal Medicine 5890879571 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10621 Airport Pulling Rd N
Suite 1
Naples, FL 34109-1599
Phone (239) 330-9999

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80 of 100Reported as individual
Quality
60
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue20
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME99285FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Naples Internal Medicine LLC CurrentSince Nov 11, 2013 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Integrated Health Care Providers Past Accepting new patients

Locations

10621 Airport Rd N
Ste 1
Naples, FL 34109
Phone (239) 330-9999

Organizations & group practices 3

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.

Hospital & facility affiliations 8

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": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414022400000",
    "number": "1548480270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10621 AIRPORT PULLING RD N",
            "address_2": "SUITE 1",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341097333",
            "telephone_number": "239-330-9999",
            "fax_number": "239-330-1473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10621 AIRPORT PULLING RD N",
            "address_2": "SUITE 1",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341091599",
            "telephone_number": "239-330-9999",
            "fax_number": "239-330-1473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHLA",
        "first_name": "MICHAEL",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2014-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME99285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SATEAH",
            "last_name": "SHAHLA",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.