Individual provider Active NPI

Shereen Ibrahim Oloufa, MD

  • Obstetrics & Gynecology Physician
  • Ocoee, FL
National Provider Identifier
1669560751
Registry record updated May 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME 84000 Issued in FL
Practice address
2711 Maguire Rd
Ocoee, FL 34761-4797
Phone
(407) 777-1774
Fax
(407) 979-8040
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME 84000 FL Primary

Addresses

Primary practice location

2711 Maguire Rd
Ocoee, FL 34761-4797

Mailing address

2711 Maguire Rd
Ocoee, FL 34761-4797
Phone (407) 777-1774

Other identifiers 2

IdentifierTypeStateIssuer
229091OtherFLSTAYWELL
263572100MedicaidFL

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
I20041117000183 FL Practitioner - Obstetrics/Gynecology 8426012667 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Pennsylvania State University College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Health First Privia Medical GroupGroup PAC ID 3173965993, 247 clinicians

Practice addresses (Care Compare)

140 6TH Ave
Indialantic, FL 32903-3204
Phone (321) 312-3501

Hospital & facility affiliations

  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007
  • Orlando Health Hospital, Orlando, FL, CCN 100006
  • Orlando Health South Lake Hospital Hospital, Clermont, FL, CCN 100051

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 84000FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Orange Women'S Care Obstetrics & Gynecology CurrentSince Mar 20, 2020 Accepting new patients
Privia Medical Group Florida, LLC CurrentSince Feb 27, 2025 Accepting new patients
Central Florida Vascular Center, PA Past Accepting new patients

Locations

140 6th Ave
Indialantic, FL 32903
Phone (321) 312-3501

10131 W Colonial Dr
Ste 4
Ocoee, FL 34761
Phone (407) 298-4910

2711 Maguire Rd
Ocoee, FL 34761
Phone (407) 268-0000

989 Sebastian Blvd
Unit 3
Sebastian, FL 32958
Phone (727) 617-1777

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21589/brand/1/csg/1/fhir/r4
  • Direct secure messaging: shereen.oloufa.1@8042.direct.athenahealth.com

Organizations & group practices 3

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 4

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589587200000",
    "number": "1669560751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 MAGUIRE RD",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347614797",
            "telephone_number": "407-777-1774",
            "fax_number": "407-979-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 MAGUIRE RD",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347614797",
            "telephone_number": "407-777-1774",
            "fax_number": "407-979-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLOUFA",
        "first_name": "SHEREEN",
        "middle_name": "IBRAHIM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2020-05-16",
        "certification_date": "2020-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME 84000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STAYWELL",
            "identifier": "229091",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "263572100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocoee, FL

Sources for this page

Verify at the official NPI Registry.