Individual provider Active NPI

Saied Ebrahim Shemiranei, MD

  • General Practice Physician
  • Orlando, FL
National Provider Identifier
1871951970
Registry record updated Aug 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
19273 Issued in PR
Practice address
1400 E Robinson St
Orlando, FL 32801-2120
Phone
(407) 845-8623
NPI assigned
Feb 3, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 19273 PR Primary

Addresses

Primary practice location

1400 E Robinson St
Orlando, FL 32801-2120

Mailing address

1400 E Robinson St
Orlando, FL 32801-2120
Phone (407) 845-8623

Other practice location 1

CII Molinillo
Doctor center Hospital
Carolina, PR 00988
Phone (787) 626-3322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, FL2 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
I20160805001984 PR Practitioner - General Practice 0840584363 Reassigns benefits to 1 organization
Practice locations: San Juan, PR; Fajardo, PR
I20190703002644 FL Practitioner - General Practice 0840584363 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1400 E Robinson St
Orlando, FL 32801-2120
Phone (407) 845-8623

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19273PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Medico del Turabo Inc CurrentSince Mar 19, 2016 Accepting new patients
Advance Preventive Medicine Urgent Care, LLC General Practice CurrentSince Apr 23, 2019 Accepting new patients
Centro Medico del Turabo Inc General Practice CurrentSince Mar 19, 2016 Accepting new patients

Locations

1400 E Robinson St
Orlando, FL 32801
Phone (407) 845-8623

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

404 Ave General Valero
Fajardo, PR 00738
Phone (781) 299-4731

Interoperability endpoints

  • Direct secure messaging: saied.shemiranei.1@19950.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/19950/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1454457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565308800000",
    "number": "1871951970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E ROBINSON ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328012120",
            "telephone_number": "407-845-8623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E ROBINSON ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328012120",
            "telephone_number": "407-845-8623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "CII Molinillo",
            "address_2": "Doctor center Hospital",
            "address_purpose": "LOCATION",
            "city": "Carolina",
            "state": "PR",
            "postal_code": "00988",
            "country_code": "US",
            "telephone_number": "787-626-3322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEMIRANEI",
        "first_name": "SAIED",
        "middle_name": "EBRAHIM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-03",
        "last_updated": "2019-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "19273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.