Organization Active NPI

Comprehensive Retina Consultants PLLC

  • Retina Specialist (Ophthalmology) Physician
  • Newberry, FL
National Provider Identifier
1831608496
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
ME86573 Issued in FL
Legal business name
COMPREHENSIVE RETINA CONSULTANTS PLLC
Practice address
13840 W Newberry Rd
Newberry, FL 32669-2094
Phone
(352) 775-1010
Fax
(352) 559-1210
NPI assigned
Sep 27, 2017
Last updated
Nov 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Authorized official

Name
Dr. Shalesh Kaushal, MD, PHDNPI 1649225640
Title
Owner
Phone
(352) 562-6058

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207WX0107X ME86573 FL Primary

Addresses

Primary practice location

13840 W Newberry Rd
Newberry, FL 32669-2094

Mailing address

6205 NW 81St Dr
Gainesville, FL 32653-2979
Phone (352) 562-6058

Other identifiers 1

IdentifierTypeStateIssuer
004500300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171206000219 FL Part B Supplier - Clinic/Group Practice 3072870781 Receives reassigned benefits from 1 practitioner
Practice locations: Gainesville, FL; Inverness, FL; Jonesville, FL; Ocala, FL; Summerfield, FL

National Provider Directory

National Provider Directory

Locations

13840 W Newberry Rd
Newberry, FL 32669
Phone (352) 559-1200

14031 Del Webb Blvd
Ste 104
Summerfield, FL 34491

1501 N US Highway 441
Bldg 1800A
The Villages, FL 32159
Phone (352) 751-8862

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1506470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763942400000",
    "number": "1831608496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6205 NW 81ST DR",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326532979",
            "telephone_number": "352-562-6058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13840 W NEWBERRY RD",
            "city": "NEWBERRY",
            "state": "FL",
            "postal_code": "326692094",
            "telephone_number": "352-775-1010",
            "fax_number": "352-559-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE RETINA CONSULTANTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-27",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A",
        "authorized_official_last_name": "KAUSHAL",
        "authorized_official_first_name": "SHALESH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-562-6058",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "FL",
            "license": "ME86573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004500300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newberry, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.