Harvey Allen Shub, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME30422 Issued in FL

Practice address

5425 S Semoran Blvd Ste 6a
Orlando, FL 32822-1777

Phone

(407) 482-0052

Fax

(407) 482-0198

NPI assigned

Jun 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Internal Medicine

Education

Other, 1971

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://drchrono-fhirpresentation.everhealthsoftware.com/fhir/drchrono/504966/r4

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.

• Sunshine State Medical Inc

  • Multi-Specialty Clinic/Center
  • Orlando, FL
  • NPI 1598063935

  Internal Medicine

  Medicare reassignment NPD
• Orlando Health Inc

  • Pediatric Anesthesiology Physician
  • Orlando, FL
  • NPI 1457489767

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575504000000",
    "number": "1740218973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5425 S SEMORAN BLVD STE 6A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328221777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 S SEMORAN BLVD STE 6A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328221777",
            "telephone_number": "407-482-0052",
            "fax_number": "407-482-0198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUB",
        "first_name": "HARVEY",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2019-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "FL",
            "license": "30422",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME30422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra Klebous Shriver, PA-C
• Krish B Shroff, MD
• Kunj H Shroff, PA-C
• Sanjeev Krishanauadan Shroff, MD
• Seema M Shroff, MD
• Shubhaam Corp
• Jill Jasinowski Shue, MA CCC-SLP
• Mangesh Shukla, MD
• Raj Shukla
• Samarth Shukla, M.D.

• Internal Medicine Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2019; 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.