NPIMap

Individual provider Active NPI

Shadi E Oweis, MD

  • Nephrology Physician
  • Pensacola, FL
National Provider Identifier
1578697454
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME105291 Issued in FL
Practice address
1619 Creighton Rd Ste a
Pensacola, FL 32504-7152
Phone
(850) 444-4700
Fax
(850) 444-7497
NPI assigned
Mar 15, 2007
Last updated
Jul 1, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 35088500 OH
Nephrology Physician 207RN0300X 30678 AL
Nephrology Physician 207RN0300X ME105291 FL Primary

Addresses

Primary practice location

1619 Creighton Rd Ste a
Pensacola, FL 32504-7152

Mailing address

PO Box 11037
Pensacola, FL 32524-1037
Phone (850) 444-4700

Other identifiers 3

IdentifierTypeStateIssuer
127528MedicaidAL
001889800MedicaidFL
DB684ZOtherFLMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100528000608 FL Practitioner - Nephrology 1850471541 Reassigns benefits to 1 organization
I20111005000560 AL Practitioner - Nephrology 1850471541 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pensacola Nephrology PAGroup PAC ID 7214832856, shared by 2 NPIs, 37 clinicians

Practice addresses (Care Compare)

1121 Belleview Ave
Brewton, AL 36426-1500
Phone (850) 444-4700

1619 Creighton Rd
Suite 1
Pensacola, FL 32504-7152
Phone (850) 444-4700

Hospital & facility affiliations

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
30678ALMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pensacola Nephrology, PA Nephrology CurrentSince Jan 1, 2025 Accepting new patients
Pensacola Nephrology, PA Nephrology CurrentSince Jan 1, 2025 Accepting new patients
Northwest Ohio Emergency Services, Inc. Emergency Medicine Past Accepting new patients
Pensacola Nephrology, PA Nephrology Past Accepting new patients
Noes/Paulding, LTD Emergency Medicine Past Accepting new patients

Locations

109 Opp Ave
Andalusia, AL 36420
Phone (334) 582-1390

401 S 8th Ave
Atmore, AL 36502
Phone (251) 368-2500

406 Medical Park Dr
Atmore, AL 36502
Phone (251) 368-6245

807 E Craig St
Atmore, AL 36502
Phone (251) 368-5593

1121 Belleville Ave
Brewton, AL 36426
Phone (251) 809-3180

100 Lewis St
Evergreen, AL 36401
Phone (251) 578-2480

6001 Industrial Blvd
Century, FL 32535
Phone (251) 943-2300

221 E Redstone Ave
Crestview, FL 32539
Phone (850) 398-6606

319 Green Acres Rd
#103
Fort Walton Beach, FL 32547

1118 Gulf Breeze Pkwy
Ste 202
Gulf Breeze, FL 32561
Phone (850) 416-2340

14114 Alabama St
Jay, FL 32565
Phone (850) 675-8000

5819 Highway 90
Milton, FL 32583
Phone (850) 623-8299

1619 Creighton Rd
Ste 1
Pensacola, FL 32504
Phone 85044447001730

2940 N Blue Angel Pkwy
Pensacola, FL 32506
Phone (850) 453-3658

5149 N 9th Ave
Ste G35
Pensacola, FL 32504
Phone (850) 471-1445

5401 Corporate Woods Dr
Ste 850
Pensacola, FL 32504
Phone (850) 484-8646

598 N Fairfield Dr
Ste 3
Pensacola, FL 32506

700 E Cervantes St
Pensacola, FL 32501
Phone (850) 477-4700

8333 N Davis Hwy
Pensacola, FL 32514
Phone (850) 474-8000

8333 N Davis Hwy
Fl 2
Pensacola, FL 32514
Phone (850) 474-8719

Organizations & group practices 5

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 9

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": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1578697454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11037",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325241037",
            "telephone_number": "850-444-4700",
            "fax_number": "850-444-7497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 CREIGHTON RD STE A",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325047152",
            "telephone_number": "850-444-4700",
            "fax_number": "850-444-7497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWEIS",
        "first_name": "SHADI",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35088500",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AL",
            "license": "30678",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME105291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127528",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001889800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "DB684Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.