Individual provider Active NPI

Haider Shahid

  • Psychiatry Physician
  • Tampa, FL
National Provider Identifier
1598184145
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME127443 Issued in FL
Practice address
17 Davis Blvd
Suite 308
Tampa, FL 33606-3475
Phone
(817) 974-2805
NPI assigned
Apr 10, 2014
Last updated
Nov 29, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X ME127443 FL Primary

Addresses

Primary practice location

17 Davis Blvd
Suite 308
Tampa, FL 33606-3475

Mailing address

17 Davis Blvd
Suite 308
Tampa, FL 33606-3475
Phone (817) 974-2805

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
I20170511000542 FL Practitioner - Psychiatry 0244517753 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baycare Behavioral Health IncGroup PAC ID 4688649122, 58 clinicians

Practice addresses (Care Compare)

7809 Massachusetts Ave
Suite 100
New Port Richey, FL 34653-3028
Phone (727) 841-4200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME127443FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health Management Services, Inc. CurrentSince Aug 20, 2020 Accepting new patients
Baycare Behavioral Health Inc. CurrentSince Aug 20, 2020 Accepting new patients
Baycare Behavioral Health Associates LLC Psychiatry Current Accepting new patients
Behavioral Health Management Services, Inc. Current Accepting new patients
Winter Haven Hospital Inc CurrentSince Aug 20, 2020 Accepting new patients
Behavioral Health Management Services, Inc. CurrentSince Aug 20, 2020 Accepting new patients
Winter Haven Hospital Inc CurrentSince Aug 20, 2020 Accepting new patients
Baycare Behavioral Health, Inc CurrentSince Aug 20, 2020 Accepting new patients
Baycare Behavioral Health Associates LLC Psychiatry CurrentSince Aug 20, 2020 Accepting new patients

Locations

1106 Druid Rd S
Clearwater, FL 33756
Phone (727) 584-6266

4211 Van Dyke Rd
Lutz, FL 33558
Phone (813) 265-6300

7809 Massachusetts Ave
New Prt Rchy, FL 34653
Phone (727) 841-4200

7809 Massachusetts Ave
Ste 100
New Prt Rchy, FL 34653
Phone (727) 841-4200

6600 Madison St
New Pt Richey, FL 34652
Phone (727) 841-4611

2727 W Mlk Blvd
Ste 640
Tampa, FL 33607
Phone (813) 842-7582

Interoperability endpoints

  • Direct secure messaging: haider.shahidmd@direct.mybaycare.org

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1397088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1598184145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 DAVIS BLVD",
            "address_2": "SUITE 308",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336063475",
            "telephone_number": "817-974-2805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 DAVIS BLVD",
            "address_2": "SUITE 308",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336063475",
            "telephone_number": "817-974-2805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHID",
        "first_name": "HAIDER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-10",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME127443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.