Active NPI
Shahrzad J Grey, MD
- Internal Medicine Physician
- Maitland, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME 94626
- Practice address
- 2600 Lake Lucien Dr Ste 112
Maitland, FL 32751 - Phone
- (321) 207-9029
- Fax
- (844) 410-7960
- NPI assigned
- May 3, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME 94626 | FL | Primary |
| Internal Medicine Physician | 207R00000X | 060459 | GA |
Addresses
Primary practice location
2600 Lake Lucien Dr Ste 112
Maitland, FL 32751
Mailing address
2600 Lake Lucien Dr Ste 112
Maitland, FL 32751-7233
Phone (321) 207-9029
Other practice location 1
941 W. Morse Blvd Ste 100
Winter Park, FL 32789
Phone (321) 207-9029
Other practice location 2
1681 Eagle Harbor Pkwy
Suite B
Fleming Island, FL 32003-4819
Phone (904) 644-0092
Other practice location 3
941 W. Morse Blvd Ste 100
Winter Park, FL 32789
Phone (321) 207-9029
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00395141 | Other | FL | RAILROAD MEDICARE |
| 274722700 | Medicaid | FL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
Maitland, FL 32751
Phone (321) 207-9029
Tampa, FL 33637
Phone (813) 517-0137
Hospital & facility affiliations
- Concierge Home Care
- Trilogy Home Healthcare
- Adventhealth Home Health
- Enhabit Home Health
- Pinnacle Home Care
- Vitas Healthcare Corporation of Florida
- Adventhealth Orlando
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 94626 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rmed LLC | Internal Medicine | Current | Accepting new patients |
| Rmed LLC | Internal Medicine | Current | Accepting new patients |
| General Medicine, P.C. | Past | Accepting new patients | |
| Americus & Sumter County Hospital Authority | Past | Accepting new patients | |
| Phoebe Physician Group, Inc | Past | Accepting new patients |
Locations
4348 Southpoint Blvd
Ste 100
Jacksonville, FL 32216
Phone (904) 281-1087
2600 Lake Lucien Dr
Ste 112
Maitland, FL 32751
Phone (321) 207-9029
8600 Hidden River Pkwy
Ste 75
Tampa, FL 33637
Phone (813) 517-0137
941 W Morse Blvd
Ste 100
Winter Park, FL 32789
Phone (321) 207-9029
500 Kirts Blvd
Ste 100
Troy, MI 48084
Phone (214) 824-6000
Interoperability endpoints
- shahrzad.grey.1@32913.direct.athenahealth.com
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1508815358
-
- Internal Medicine Physician
- Orange Park, FL
- NPI 1396795597
-
- Rehabilitation Hospital Unit
- Americus, GA
- NPI 1164517173
-
- Geriatric Medicine (Internal Medicine) Physician
- Novi, MI
- NPI 1811945199
-
- Clinic/Center
- Albany, GA
- NPI 1487899464
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Altamonte Springs, FL
- NPI 1518419977
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
-
- Home Health Agency
- Heathrow, FL
- NPI 1487252185
-
- Home Health Agency
- Orlando, FL
- NPI 1477969020
-
- Home Health Agency
- Orlando, FL
- NPI 1306183751
-
- Home Health Agency
- Orlando, FL
- NPI 1730647041
-
- Community Based Hospice Care Agency
- Boynton Beach, FL
- NPI 1467507657
-
- Community Based Hospice Care Agency
- Miami Lakes, FL
- NPI 1528113792
-
- Community Based Hospice Care Agency
- Melbourne, FL
- NPI 1669548053
-
- Community Based Hospice Care Agency
- Tallahassee, FL
- NPI 1972555464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572307200000",
"number": "1922066604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 LAKE LUCIEN DR STE 112",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327517233",
"telephone_number": "321-207-9029",
"fax_number": "844-410-7960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 LAKE LUCIEN DR STE 112",
"city": "MAITLAND",
"state": "FL",
"postal_code": "32751",
"telephone_number": "321-207-9029",
"fax_number": "844-410-7960"
}
],
"practiceLocations": [
{
"address_1": "941 W. Morse Blvd Ste 100",
"address_purpose": "LOCATION",
"city": "Winter Park",
"state": "FL",
"postal_code": "32789",
"country_code": "US",
"telephone_number": "321-207-9029",
"fax_number": "844-410-7960",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1681 Eagle Harbor Pkwy",
"address_2": "Suite B",
"address_purpose": "LOCATION",
"city": "Fleming Island",
"state": "FL",
"postal_code": "320034819",
"country_code": "US",
"telephone_number": "904-644-0092",
"fax_number": "904-644-0099",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "941 W. Morse Blvd Ste 100",
"address_purpose": "LOCATION",
"city": "Winter Park",
"state": "FL",
"postal_code": "32789",
"country_code": "US",
"telephone_number": "321-207-9029",
"fax_number": "844-410-7960",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GREY",
"first_name": "SHAHRZAD",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-03",
"last_updated": "2019-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME 94626",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "060459",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00395141",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "274722700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Maitland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; 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.