Individual provider Active NPI

Shakti Narain, MD

  • Pulmonary Disease Physician
  • Leesburg, FL
National Provider Identifier
1689643199
Registry record updated Apr 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME56590 Issued in FL
Practice address
1070 Flagler Avenue
Leesburg, FL 34748
Phone
(352) 365-2550
Fax
(352) 365-1950
NPI assigned
Mar 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X ME56590 FL Primary

Addresses

Primary practice location

1070 Flagler Avenue
Leesburg, FL 34748

Mailing address

1070 Flagler Avenue
Leesburg, FL 34748
Phone (352) 365-2550

Other identifiers 2

IdentifierTypeStateIssuer
061991400MedicaidFL
09549OtherFLBCBS

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
I20100205000718 FL Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 6204979735 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shakti Narain MD PAGroup PAC ID 3274676606, 2 clinicians

Practice addresses (Care Compare)

1070 Flagler Ave
Leesburg, FL 34748-7633
Phone (352) 365-2550

13838 N US Hwy 441
Lady Lake, FL 32159-8904
Phone (352) 365-2550

7928 US Hwy 441
Leesburg, FL 34788-8206
Phone (352) 365-2550

Hospital & facility affiliations

  • Adventhealth Waterman Hospital, Tavares, FL, CCN 100057

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
86.58
Improvement activities
40

National Provider Directory

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

Practice roles (1 of 3)

OrganizationSpecialtyStatusNew patients
Shakti Narain MD PA Pulmonary Disease CurrentSince Oct 7, 2009 Accepting new patients

Locations

13838 N US Highway 441
Lady Lake, FL 32159
Phone (352) 323-8868

1070 Flagler Ave
Leesburg, FL 34748
Phone (352) 365-2550

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BHDJBA/Endpoint/BHDJBA
  • Direct secure messaging: snarain562693@direct.shands.ufl.edu
  • FHIR API: https://fhir4.healow.com/fhir/r4/BHDJBA

Organizations & group practices 1

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 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": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333497600000",
    "number": "1689643199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 FLAGLER AVENUE",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "34748",
            "telephone_number": "352-365-2550",
            "fax_number": "352-365-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 FLAGLER AVENUE",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "34748",
            "telephone_number": "352-365-2550",
            "fax_number": "352-365-1950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARAIN",
        "first_name": "SHAKTI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2012-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME56590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "061991400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "09549",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

Verify at the official NPI Registry.