Individual provider Active NPI

Shahrzad J Grey, MD

  • Internal Medicine Physician
  • Maitland, FL
National Provider Identifier
1922066604
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME 94626 Issued in FL
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

Updated by the provider on Oct 29, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P00395141OtherFLRAILROAD MEDICARE
274722700MedicaidFL

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
I20070420000066 FL Practitioner - Internal Medicine 9638066673 Reassigns benefits to 2 organizations

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
Rmed LLCGroup PAC ID 6608768411, 25 clinicians

Practice addresses (Care Compare)

Maitland, FL 32751
Phone (321) 207-9029

Tampa, FL 33637
Phone (813) 517-0137

Hospital & facility affiliations

  • Concierge Home Care Home health agency, Heathrow, FL, CCN 687134
  • Trilogy Home Healthcare Home health agency, Orlando, FL, CCN 683131
  • Adventhealth Home Health Home health agency, Altamonte Springs, FL, CCN 107211
  • Enhabit Home Health Home health agency, Orlando, FL, CCN 109494
  • Pinnacle Home Care Home health agency, Orlando, FL, CCN 103127
  • Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 94626FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rmed LLC Internal Medicine CurrentSince Aug 1, 2019 Accepting new patients
Rmed LLC Internal Medicine CurrentSince Aug 1, 2019 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 11

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": "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

Verify at the official NPI Registry.