Individual provider Active NPI

Shalesh Kaushal, MD PHD

  • Ophthalmology Physician
  • The Villages, FL
National Provider Identifier
1649225640
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME86573 Issued in FL
Practice address
1400 N US Highway 441 Ste 532
The Villages, FL 32159-8985
Phone
(352) 484-1171
NPI assigned
May 24, 2006
Last updated
Dec 8, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 238661 MA
Ophthalmology Physician 207W00000X ME86573 FL Primary

Addresses

Primary practice location

1400 N US Highway 441 Ste 532
The Villages, FL 32159-8985

Mailing address

6205 NW 81St Dr
Gainesville, FL 32653-2979

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
I20120224000691 FL Practitioner - Ophthalmology 5597821603 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Johns Hopkins University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3426 NW 43Rd St
Suite B
Gainesville, FL 32606-8156
Phone (352) 559-1200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery94

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
238661MAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CRC Surgical LLC Ophthalmology CurrentSince Aug 28, 2022 Accepting new patients
Comprehensive Retina Consultants PLLC CurrentSince Jan 2, 2018 Accepting new patients

Locations

3426 NW 43rd St
Ste A
Gainesville, FL 32606
Phone (352) 559-1200

3426 NW 43rd St
Ste B
Gainesville, FL 32606
Phone (352) 338-2089

203 S Seminole Ave
Inverness, FL 34452
Phone (352) 726-6018

502 W Highland Blvd
Inverness, FL 34452
Phone (352) 344-6481

13840 W Newberry Rd
Newberry, FL 32669
Phone (352) 559-1200

5353 SW College Rd
Ocala, FL 34474
Phone (352) 237-9451

14031 Del Webb Blvd
Ste 104
Summerfield, FL 34491

1501 N US Highway 441
Ste 1106
The Villages, FL 32159
Phone (352) 504-3500

Networks

  • Freedom Health HMO Network

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1649225640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6205 NW 81ST DR",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326532979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N US HIGHWAY 441 STE 532",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321598985",
            "telephone_number": "352-484-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUSHAL",
        "first_name": "SHALESH",
        "name_prefix": "Dr.",
        "credential": "MD PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "238661",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME86573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Villages, FL

Sources for this page

Verify at the official NPI Registry.