Individual provider Active NPI

Amir Shirmohammad, M.D.

  • Family Medicine Physician
  • Trinity, FL
National Provider Identifier
1912060500
Registry record updated Apr 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME 96251 Issued in FL
Practice address
1817 Cypress Brook Dr
Suite 101
Trinity, FL 34655-4414
Phone
(727) 834-8377
NPI assigned
Dec 18, 2006
Last updated
Apr 27, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME 96251 FL Primary

Addresses

Primary practice location

1817 Cypress Brook Dr
Suite 101
Trinity, FL 34655-4414

Mailing address

1817 Cypress Brook Dr
Suite 101
Trinity, FL 34655-4414
Phone (727) 834-8377

Other identifiers 1

IdentifierTypeStateIssuer
ME96251OtherFLMEDICAL LICENSSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL trinityfamilyphysicians.com

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20070619000144 FL Practitioner - Family Practice 9537268461 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Trinity Family Physicians, PLGroup PAC ID 6305921321, 3 clinicians
Sports and Orthopedic Rehabilitation Services IncGroup PAC ID 0840104253, shared by 4 NPIs, 314 clinicians

Practice addresses (Care Compare)

1817 Cypress Brook Dr
Trinity, FL 34655-4416
Phone (727) 834-8377

5347 Main St
Suite 202
New Port Richey, FL 34652-2520
Phone (727) 841-0515

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions37
Removal or shaving of skin growth12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 96251FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Family Physicians PL Family Medicine CurrentSince Sep 1, 2007 Accepting new patients

Locations

5604 Gulf Dr
New Prt Rchy, FL 34652
Phone (727) 834-8377

1817 Cypress Brook Dr
Ste 101
Trinity, FL 34655
Phone (727) 376-9757

Interoperability endpoints

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

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587945600000",
    "number": "1912060500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1817 CYPRESS BROOK DR",
            "address_2": "SUITE 101",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346554414",
            "telephone_number": "727-834-8377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1817 CYPRESS BROOK DR",
            "address_2": "SUITE 101",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346554414",
            "telephone_number": "727-834-8377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRMOHAMMAD",
        "first_name": "AMIR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME 96251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSSE",
            "identifier": "ME96251",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "trinityfamilyphysicians.com",
            "affiliation": "N",
            "address_1": "1817 Cypress Brook Dr",
            "address_2": "Suite 101",
            "city": "Trinity",
            "state": "FL",
            "country_code": "US",
            "postal_code": "346554414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Trinity, FL

Sources for this page

Verify at the official NPI Registry.