Active NPI
Shahab Eunus, M.D
- Pediatrics Physician
- Ocala, FL
National Provider Identifier
1619085610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME96086
- Practice address
- 7960 SW 60TH Ave
Ocala, FL 34476-6408 - Phone
- (352) 671-6741
- Fax
- (352) 671-6742
- NPI assigned
- Aug 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | |||
| Pediatrics Physician | 208000000X | ME96086 | FL | Primary |
Addresses
Primary practice location
7960 SW 60TH Ave
Ocala, FL 34476-6408
Mailing address
7960 SW 60TH Ave
Ocala, FL 34476-6408
Phone (352) 671-6741
Other practice location 1
900 Pine St # 216-217
Englewood, FL 34223-4418
Phone (941) 474-5093
Other practice location 2
14141 E Highway 40
Silver Springs, FL 34488-3910
Phone (352) 625-2727
Other practice location 3
5388 S US Highway 41
Dunnellon, FL 34432-2042
Phone (352) 522-1862
Other practice location 4
2650 NW 2nd St Ste 100
Ocala, FL 34475-6234
Phone (352) 237-5400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 275780000 | Medicaid | FL | |
| JH468Z | Other | FL | PTAN |
Other names 1
- Shahabuddin Mohamed
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 Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kids Health Alliance PA | Pediatrics | Current | Accepting new patients |
| Ira Fialko DO PA | Pediatrics | Current | Accepting new patients |
| Premier Pediatrics, LLC | Pediatrics | Past | Accepting new patients |
| Premier Pediatrics LLC | Pediatrics | Past | Accepting new patients |
| Premier Pediatrics LLC | Pediatrics | Past | Accepting new patients |
| Premier Pediatrics | Pediatrics | Past | Accepting new patients |
| Englewood Pediatrics, P.a. | Pediatrics | Past | Accepting new patients |
Locations
6171 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0220
7960 SW 60th Ave
Ste 100
Ocala, FL 34476
Phone (352) 671-6741
2650 NW 2nd St
#100
Ocala, FL 34475
Phone (352) 237-5400
Organizations & group practices 7
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.
-
- Pediatrics Physician
- Englewood, FL
- NPI 1356470744
-
- Pediatrics Physician
- Ocala, FL
- NPI 1528493137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673222400000",
"number": "1619085610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7960 SW 60TH AVE",
"city": "OCALA",
"state": "FL",
"postal_code": "344766408",
"telephone_number": "352-671-6741",
"fax_number": "352-671-6742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7960 SW 60TH AVE",
"city": "OCALA",
"state": "FL",
"postal_code": "344766408",
"telephone_number": "352-671-6741",
"fax_number": "352-671-6742"
}
],
"practiceLocations": [
{
"address_1": "900 Pine St # 216-217",
"address_purpose": "LOCATION",
"city": "Englewood",
"state": "FL",
"postal_code": "342234418",
"country_code": "US",
"telephone_number": "941-474-5093",
"fax_number": "941-474-9049",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14141 E Highway 40",
"address_purpose": "LOCATION",
"city": "Silver Springs",
"state": "FL",
"postal_code": "344883910",
"country_code": "US",
"telephone_number": "352-625-2727",
"fax_number": "352-625-2728",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5388 S US Highway 41",
"address_purpose": "LOCATION",
"city": "Dunnellon",
"state": "FL",
"postal_code": "344322042",
"country_code": "US",
"telephone_number": "352-522-1862",
"fax_number": "352-522-1863",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2650 NW 2nd St Ste 100",
"address_purpose": "LOCATION",
"city": "Ocala",
"state": "FL",
"postal_code": "344756234",
"country_code": "US",
"telephone_number": "352-237-5400",
"fax_number": "352-236-3091",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EUNUS",
"first_name": "SHAHAB",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-29",
"last_updated": "2023-01-09",
"certification_date": "2023-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME96086",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "275780000",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "JH468Z",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SHAHABUDDIN",
"last_name": "MOHAMED",
"credential": "M.D",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Ocala, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.