Active NPI
Shilpa P Saxena, MD
- Family Medicine Physician
- Lutz, FL
National Provider Identifier
1639153158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME79414
- Practice address
- 19105 US Highway 41 N
Suite 100
Lutz, FL 33549-4258 - Phone
- (813) 269-2700
- Fax
- (813) 269-2701
- NPI assigned
- Nov 30, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME79414 | FL | Primary |
Addresses
Primary practice location
19105 US Highway 41 N
Suite 100
Lutz, FL 33549-4258
Mailing address
19105 US Highway 41 N
Suite 100
Lutz, FL 33549-4258
Phone (813) 269-2700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2619776-00 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 1, 2019 through Jul 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oceanway Medical Center, Inc. | Family Medicine | Past | Accepting new patients |
| Plant City Wellness Center LLC | Family Medicine | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Jacksonville, FL
- NPI 1245255199
-
- Family Medicine Physician
- Plant City, FL
- NPI 1215187372
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392854400000",
"number": "1639153158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19105 US HIGHWAY 41 N",
"address_2": "SUITE 100",
"city": "LUTZ",
"state": "FL",
"postal_code": "335494258",
"telephone_number": "813-269-2700",
"fax_number": "813-269-2701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19105 US HIGHWAY 41 N",
"address_2": "SUITE 100",
"city": "LUTZ",
"state": "FL",
"postal_code": "335494258",
"telephone_number": "813-269-2700",
"fax_number": "813-269-2701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAXENA",
"first_name": "SHILPA",
"middle_name": "P",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-30",
"last_updated": "2014-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME79414",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2619776-00",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lutz, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.