Shahla Medical Group, PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME0066854 Issued in FL

Legal business name

SHAHLA MEDICAL GROUP, PA

Practice address

8800 Terrene CT Ste 102
Bonita Springs, FL 34135-9900

Phone

(239) 948-3444

Fax

(239) 948-9028

NPI assigned

Jun 26, 2006

Organization subpart

No

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

Authorized official

Name

Ziad Shahla, MDNPI 1649465378

Title

President

Phone

(239) 948-3444

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BFIAAA

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ziad Shahla, M.D.

  • Internal Medicine Physician
  • Bonita Springs, FL
  • NPI 1649465378
  Medicare reassignment NPD Authorized official
• Tammy Bagwell, FNP-C

  • Family Nurse Practitioner
  • Naples, FL
  • NPI 1821577230
  Medicare reassignment NPD
• Lauren Elizabeth Baptista, MS, FNP-BC

  • Family Nurse Practitioner
  • Bonita Springs, FL
  • NPI 1205243151
  Medicare reassignment NPD
• Jihad M Khalil, M.D.

  • Cardiovascular Disease Physician
  • Fort Myers, FL
  • NPI 1396740478
  Medicare reassignment NPD
• Silvia T Gomez-Seoane, MD

  • Internal Medicine Physician
  • Flint, MI
  • NPI 1295841179
  NPD

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312156800000",
    "number": "1902833288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 TERRENE CT STE 102",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341359900",
            "telephone_number": "239-948-3444",
            "fax_number": "239-948-9028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 TERRENE CT STE 102",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341359900",
            "telephone_number": "239-948-3444",
            "fax_number": "239-948-9028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAHLA MEDICAL GROUP, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2011-08-01",
        "status": "A",
        "authorized_official_last_name": "SHAHLA",
        "authorized_official_first_name": "ZIAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-948-3444",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0066854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "26304",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110188758",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N/A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaskirat Singh Sethi, MD
• SF Home Care Limited Liability Company
• Shaffer Healthcare Enterprises Inc.
• Steven John Shaffer
• Daivik Shah
• Ziad Shahla, M.D.
• Arline R. Shapiro, PH.D.
• Richard David Shapiro, MD
• Sharon M Parkinson PSYD PL
• Shekhinah Holdings LLC

• Internal Medicine Physician in Bonita Springs, FL
• Providers in Bonita Springs, 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 Aug 1, 2011; 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.