Individual provider Active NPI

Shahid M Nasir, MD

  • Diagnostic Radiology Physician
  • Ponte Vedra Beach, FL
National Provider Identifier
1811904238
Registry record updated Oct 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME93304 Issued in FL
Practice address
1052 Ponte Vedra Blvd
Ponte Vedra Beach, FL 32082-4015
Phone
(904) 551-0703
Fax
(904) 551-0709
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD17542 ME
Diagnostic Radiology Physician 2085R0202X ME93304 FL Primary

Addresses

Primary practice location

1052 Ponte Vedra Blvd
Ponte Vedra Beach, FL 32082-4015

Mailing address

130 Corridor Rd Unit 428
Ponte Vedra Beach, FL 32004-7718
Phone (907) 551-0703

Other practice location 1

24 Hospital Ln
Calais, ME 04619-1329
Phone (207) 454-7521

Other practice location 2

1680 Eagle Harbor Pkwy Ste A
Orange Park, FL 32003-4821
Phone (904) 264-9555

Other identifiers 1

IdentifierTypeStateIssuer
276663900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, ME2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070420000543 FL Practitioner - Diagnostic Radiology 4981709854 Reassigns benefits to 4 organizations
I20070731000394 ME Practitioner - Diagnostic Radiology 4981709854 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Florida College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

330 A1A N
Suite 322
Ponte Vedra Beach, FL 32082-1826
Phone (904) 551-0703

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD17542MEMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Down East Community Hospital CurrentSince Oct 31, 2025 Accepting new patients
Adventhealth West Florida Imaging, Inc. CurrentSince Jul 6, 2020 Accepting new patients
Diagnostic Imaging PA Diagnostic Radiology CurrentSince Jan 19, 2009 Accepting new patients
Monument-9a Imaging & Diagnostic Center L L C CurrentSince May 27, 2017 Accepting new patients
Calais Community Hospital CurrentSince Sep 1, 2021 Accepting new patients
Down East Community Hospital CurrentSince Dec 21, 2021 Accepting new patients
Womens' Health Hospitalists, LLC CurrentSince May 1, 2019 Accepting new patients
Calais Community Hospital CurrentSince Sep 1, 2021 Accepting new patients
Down East Community Hospital CurrentSince Dec 21, 2021 Accepting new patients
Women's Care Florida LLC CurrentSince May 1, 2019 Accepting new patients
First Coast Vein, LLC CurrentSince Jan 1, 2015 Accepting new patients
Jacksonville Radiology Associates PA Diagnostic Radiology PastSince Apr 12, 2009 Accepting new patients
Elite Imaging, LLC Diagnostic Radiology Past Accepting new patients
Open MRI of Camden LLC Diagnostic Radiology Past Accepting new patients

Locations

1201 Monument Rd
Ste 101
Jacksonville, FL 32225
Phone (904) 855-0700

4201 Belfort Rd
Jacksonville, FL 32216
Phone (904) 268-5561

1680 Eagle Harbor Pkwy
Ste A
Orange Park, FL 32003
Phone (904) 264-9555

330 A1A N
Ste 322
Ponte Vedra Beach, FL 32082
Phone (904) 551-0703

130 Corridor Rd
Unit 428
Ponte Vedra Beach, FL 32004

330 A1A N
Ste 321
Ponte Vedra Beach, FL 32082
Phone (904) 280-0600

4030 W Boy Scout Blvd
Ste 800
Tampa, FL 33607
Phone (813) 286-0333

2818 W Virginia Ave
Tampa, FL 33607
Phone (813) 872-8551

24 Hospital Ln
Calais, ME 04619
Phone (207) 454-9213

11 Hospital Dr
Machias, ME 04654
Phone (207) 255-0434

111 Stow Ave
Cuyahoga Fls, OH 44221
Phone (330) 564-2611

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/6b68bc92-a317-4686-a79a-fbb1b58a509e/

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 2

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1811904238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 CORRIDOR RD UNIT 428",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320047718",
            "telephone_number": "907-551-0703",
            "fax_number": "904-551-0709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1052 PONTE VEDRA BLVD",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320824015",
            "telephone_number": "904-551-0703",
            "fax_number": "904-551-0709"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24 Hospital Ln",
            "address_purpose": "LOCATION",
            "city": "Calais",
            "state": "ME",
            "postal_code": "046191329",
            "country_code": "US",
            "telephone_number": "207-454-7521",
            "fax_number": "207-454-3616",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1680 Eagle Harbor Pkwy Ste A",
            "address_purpose": "LOCATION",
            "city": "Orange Park",
            "state": "FL",
            "postal_code": "320034821",
            "country_code": "US",
            "telephone_number": "904-264-9555",
            "fax_number": "904-215-7960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NASIR",
        "first_name": "SHAHID",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ME",
            "license": "MD17542",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME93304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "276663900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponte Vedra Beach, FL

Sources for this page

Verify at the official NPI Registry.