Ayad Shukur, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

93764 Issued in FL

Practice address

7975 Lake Underhill Rd Ste 240
Orlando, FL 32822-8208

Phone

(407) 265-2042

Fax

(407) 289-5263

NPI assigned

Jan 29, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

NephrologyAlso: Internal Medicine

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Fresenius Kidney Care Winter Park Dialysis facility, Winter Park, FL, CCN 102778
• FMC - East Orlando Dialysis facility, Orlando, FL, CCN 102619
• Central Florida Kidney Center-East Orlando Dialysis facility, Orlando, FL, CCN 682591
• Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

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.

• Kidney Care LLC

  • Nephrology Physician
  • Orlando, FL
  • NPI 1689821241
  Medicare reassignment NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bio-Medical Applications of Florida, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Winter Park, FL
  • NPI 1215049085

  Dialysis facility

  Care Compare affiliation Name & address match
• Bio-Medical Applications of Florida, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Orlando, FL
  • NPI 1326086422

  Dialysis facility

  Care Compare affiliation Name & address match
• Central Florida Kidney Centers Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Orlando, FL
  • NPI 1942679667

  Dialysis facility

  Care Compare affiliation Name & address match
• Adventist Health System-Sunbelt, Inc

  • General Acute Care Hospital
  • Orlando, FL
  • NPI 1306938071
  Care Compare affiliation
• Adventist Health System-Sunbelt, Inc

  • Clinical Medical Laboratory
  • Orlando, FL
  • NPI 1801569728

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1669518320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 780547",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328780547",
            "telephone_number": "407-482-5588",
            "fax_number": "407-358-5084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7975 LAKE UNDERHILL RD STE 240",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328228208",
            "telephone_number": "407-265-2042",
            "fax_number": "407-289-5263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUKUR",
        "first_name": "AYAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "93764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200064130A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000283500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jill Jasinowski Shue, MA CCC-SLP
• Mangesh Shukla, MD
• Raj Shukla
• Samarth Shukla, M.D.
• Vijaya Shukla, RBT
• Ashley Patricia Shuler, RBT
• Taylor Shuler
• Bryant Thomas Shull
• Christina Shultz, M.D.
• Julianne Montana Shultz

• Nephrology Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Nephrology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.