Active NPI
Nicole Haghshenas, M.D.
- Pulmonary Disease Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- ME176175
- Practice address
- 1 Tampa General Cir
Tampa, FL 33606-3571 - Phone
- (813) 821-8038
- NPI assigned
- Mar 29, 2016
- Last updated
- Nov 17, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ME176175 | FL | Primary |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 036161653 | IL | |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
1 Tampa General Cir
Tampa, FL 33606-3571
Mailing address
PO Box 917770
Orlando, FL 32891-0001
Phone (813) 821-8038
Other practice location 1
Dept Of Medicine Hsc Level 16
SUNY Stony Brook Hospital
Stony Brook, NY 11794-0001
Phone (631) 444-2058
Other practice location 2
611 W Park St
Urbana, IL 61801-2501
Phone (217) 383-3087
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CTSN5 | Other | FL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- University of South Carolina School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4202 E Fowler Ave
Tampa, FL 33620-6750
611 W Park St
Urbana, IL 61801-2500
611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME176175 | FL | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampa General Hospital | Current | Accepting new patients | |
| Carle Health Medical Group | Pulmonary Disease | Current | Accepting new patients |
| University Medical Service Association Inc | Current | Accepting new patients | |
| University Medical Service Association Inc | Current | Accepting new patients | |
| Richland Memorial Hospital, Inc | Current | Accepting new patients | |
| Richland Memorial Hospital, Inc | Current | Accepting new patients | |
| Richland Memorial Hospital, Inc | Current | Accepting new patients | |
| University Medical Service Association Inc | Current | Accepting new patients | |
| University Medical Service Association Inc | Past | Accepting new patients |
Locations
4202 E Fowler Ave
Stop SHS100
Tampa, FL 33620
Phone (813) 974-2331
1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822
900 E Scott St
Olney, IL 62450
Phone (618) 345-1000
1201 Ricker Rd
Salem, IL 62881
Phone (618) 548-3194
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
Networks
- Freedom Health HMO Network
Interoperability endpoints
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
- nhaghshenas363962@direct.tgh.org
- nhaghshenasmd353476@carlehiedirect.net
Organizations & group practices 9
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.
-
- Physical Therapist
- Tampa, FL
- NPI 1992742324
-
dba Carle Physician Group
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
Pulmonary Disease
-
dba Carle Richland Memorial Hospital
- Critical Access Hospital
- Olney, IL
- NPI 1467492124
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
-
- Durable Medical Equipment & Medical Supplies
- Tampa, FL
- NPI 1194276576
-
- General Practice Physician
- Tampa, FL
- NPI 1326088295
-
dba Carle RMH Primary Care
- Rural Health Clinic/Center
- Olney, IL
- NPI 1326566290
-
- Otolaryngology Physician
- Olney, IL
- NPI 1700063179
-
- Neurological Surgery Physician
- Tampa, FL
- NPI 1740227966
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Tampa General Hospital
- General Acute Care Hospital
- Tampa, FL
- NPI 1235196510
-
- General Acute Care Hospital
- Urbana, IL
- NPI 1013071653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763337600000",
"number": "1912360876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 917770",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328910001",
"telephone_number": "813-821-8038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 TAMPA GENERAL CIR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336063571",
"telephone_number": "813-821-8038"
}
],
"practiceLocations": [
{
"address_1": "Dept Of Medicine Hsc Level 16",
"address_2": "SUNY Stony Brook Hospital",
"address_purpose": "LOCATION",
"city": "Stony Brook",
"state": "NY",
"postal_code": "117940001",
"country_code": "US",
"telephone_number": "631-444-2058",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "611 W Park St",
"address_purpose": "LOCATION",
"city": "Urbana",
"state": "IL",
"postal_code": "618012501",
"country_code": "US",
"telephone_number": "217-383-3087",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAGHSHENAS",
"first_name": "NICOLE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-29",
"last_updated": "2025-11-17",
"certification_date": "2025-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "FL",
"license": "ME176175",
"primary": true
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "IL",
"license": "036161653",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "CTSN5",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.