NPIMap

Individual provider Active NPI

Elias Ibrahim Shaheen, MD

  • Family Medicine Physician
  • Naples, FL
National Provider Identifier
1639305972
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME123307 Issued in FL
Practice address
15455 Collier Blvd Unit 201
Naples, FL 34119-7874
Phone
(239) 514-2005
Fax
(239) 593-0067
NPI assigned
Jun 1, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036128436 IL
Family Medicine Physician 207Q00000X ME123307 FL Primary

Addresses

Primary practice location

15455 Collier Blvd Unit 201
Naples, FL 34119-7874

Mailing address

15455 Collier Blvd Unit 201
Naples, FL 34119-7874
Phone (239) 514-2005

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
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Sep 18, 2025 through Sep 18, 2027

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2008
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6101 Pine Ridge Rd
Naples, FL 34119-3900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.7 of 100Reported as apm
Quality
69.88
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME123307FLMDFamily Medicine Physician

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Hospital & facility affiliations 7

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": "1243814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1639305972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15455 COLLIER BLVD UNIT 201",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341197874",
            "telephone_number": "239-514-2005",
            "fax_number": "239-593-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15455 COLLIER BLVD UNIT 201",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341197874",
            "telephone_number": "239-514-2005",
            "fax_number": "239-593-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHEEN",
        "first_name": "ELIAS",
        "middle_name": "IBRAHIM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-01",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036128436",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME123307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.