Individual provider Active NPI

Nikita Bhakta Shah, D.O.

  • Family Medicine Physician
  • Orlando, FL
National Provider Identifier
1548601412
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS13183 Issued in FL
Practice address
7656 International Dr
Orlando, FL 32819-8237
Phone
(407) 996-4554
Fax
(407) 996-4064
NPI assigned
Jul 8, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity Medicine (Family Medicine) Physician 207QB0002X OS13183 FL
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X OS13183 FL Primary

Addresses

Primary practice location

7656 International Dr
Orlando, FL 32819-8237

Mailing address

11954 Narcoosee Road
Suite 2, #204
Orlando, FL 32832-8202
Phone (850) 499-3512

Other practice location 1

11954 Narcoosee Road
Suite 2, #204
Orlando, FL 32832-8202
Phone (850) 499-3512

Other names 1

  • Dr. Nikita Bhupendra Bhakta Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS13183FLMDObesity Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Weight Sense LLC Obesity Medicine Current Accepting new patients

Locations

10437 Moss Park Rd
Ste B
Orlando, FL 32832
Phone (407) 207-8005

Interoperability endpoints

  • Direct secure messaging: nikita.shah@334944771768324.direct.elationemr.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1373241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1548601412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11954 NARCOOSEE ROAD",
            "address_2": "SUITE 2, #204",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328328202",
            "telephone_number": "850-499-3512",
            "fax_number": "407-303-8659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7656 INTERNATIONAL DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328198237",
            "telephone_number": "407-996-4554",
            "fax_number": "407-996-4064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11954 Narcoosee Road",
            "address_2": "Suite 2, #204",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328328202",
            "country_code": "US",
            "telephone_number": "850-499-3512",
            "fax_number": "407-303-8659",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "NIKITA",
        "middle_name": "BHAKTA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-08",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QB0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "FL",
            "license": "OS13183",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS13183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NIKITA",
            "last_name": "BHAKTA",
            "middle_name": "BHUPENDRA",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.