Individual provider Active NPI

Ziad Shahla, M.D.

  • Internal Medicine Physician
  • Bonita Springs, FL
National Provider Identifier
1649465378
Registry record updated Aug 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0066854 Issued in FL
Practice address
8800 Terrene CT
Suite 102
Bonita Springs, FL 34135-9900
Phone
(239) 948-3444
Fax
(239) 948-9028
NPI assigned
Sep 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME0066854 FL Primary

Addresses

Primary practice location

8800 Terrene CT
Suite 102
Bonita Springs, FL 34135-9900

Mailing address

8800 Terrene CT
Suite 102
Bonita Springs, FL 34135-9900
Phone (239) 948-3444

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
I20111108000616 FL Practitioner - Internal Medicine 6901980671 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

1499 S Brandywine Cir
Fort Myers, FL 33919-6775
Phone (239) 202-0059

8800 Terrenct
Suite 102
Bonita Springs, FL 34135-9530

8800 Terrene CT
Suite 102
Bonita Springs, FL 34135-9530
Phone (239) 948-3444

Hospital & facility affiliations

  • Trilogy Home Healthcare Home health agency, Estero, FL, CCN 108173
  • Preferred Care Home Health Services Home health agency, Fort Myers, FL, CCN 109423
  • Empath Home Health Home health agency, Fort Myers, FL, CCN 109786
  • Pinnacle Home Care Home health agency, Fort Myers, FL, CCN 683113
  • Aveanna Home Health Home health agency, Sarasota, FL, CCN 108480
  • Lee Memorial Hospital Hospital, Fort Myers, FL, CCN 100012
  • Naples Community Hospital Hospital, Naples, FL, CCN 100018

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0066854FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shahla Medical Group, PA Internal Medicine CurrentSince Jun 1, 1999 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

8800 Terrene Ct
Ste 102
Bonita Springs, FL 34135
Phone (239) 948-3444

2350 Vanderbilt Beach Rd
Ste 101
Naples, FL 34109
Phone (239) 206-3180

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BFIAAA

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.

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": "1189036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313107200000",
    "number": "1649465378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 TERRENE CT",
            "address_2": "SUITE 102",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341359900",
            "telephone_number": "239-948-3444",
            "fax_number": "239-948-9028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 TERRENE CT",
            "address_2": "SUITE 102",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341359900",
            "telephone_number": "239-948-3444",
            "fax_number": "239-948-9028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHLA",
        "first_name": "ZIAD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-06",
        "last_updated": "2011-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0066854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonita Springs, FL

Sources for this page

Verify at the official NPI Registry.