NPIMap

Individual provider Active NPI

Shahbaz Ali Cheema, MD

  • Internal Medicine Physician
  • Summerfield, FL
National Provider Identifier
1922079508
Registry record updated Jan 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME85893 Issued in FL
Practice address
10250 SE 167TH Place Rd
Suite 5
Summerfield, FL 34491-8686
Phone
(352) 307-9925
Fax
(352) 307-8442
NPI assigned
Jan 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME85893 FL Primary

Addresses

Primary practice location

10250 SE 167TH Place Rd
Suite 5
Summerfield, FL 34491-8686

Mailing address

10250 SE 167TH Place Rd Unit 5
Summerfield, FL 34491-8682
Phone (352) 307-9925

Other identifiers 1

IdentifierTypeStateIssuer
265427000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100717000032 FL Practitioner - Internal Medicine 6709918303 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lakeview Healthcare System, LLC 25 clinicians
Legacy Healthcare Services Inc 3,431 clinicians
Cora Health Services Inc 1,125 clinicians

Practice addresses (Care Compare)

10250 SE 167TH Place Rd
Unit 5
Summerfield, FL 34491-8682
Phone (352) 307-9925

1550 Killingsworth Way
The Villages, FL 32162-2175
Phone (352) 633-2971

2953 Traverse TRL
The Villages, FL 32163-2017
Phone (352) 693-3378

Hospital & facility affiliations

  • Lake Centre Home Care, LLC Home health agency, Leesburg, FL, CCN 108416
  • Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME85893FLMDInternal Medicine Physician

Practice roles (3 of 5)

OrganizationSpecialtyStatusNew patients
Lakeview Healthcare System, LLC Internal Medicine CurrentSince Oct 15, 2002 Accepting new patients
Lakeview Healthcare System, LLC CurrentSince Oct 15, 2002 Accepting new patients
Lakeview Internal Medicine P.a. Internal Medicine Past Accepting new patients

Locations

1801 US Highway 441
Bldg 100
Leesburg, FL 34748
Phone (352) 460-4004

18550 US Highway 441
Mount Dora, FL 32757
Phone (352) 735-3755

18550 US Highway 441
Ste A
Mount Dora, FL 32757
Phone (352) 735-3755

10250 SE 167th Place Rd
Unit 5
Summerfield, FL 34491
Phone (352) 307-9225

1950 Laurel Manor Dr
Ste 150
The Villages, FL 32162
Phone (352) 633-5282

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: scheema562482@direct.shands.ufl.edu

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Weirsdale Family Health Center IncWeirsdale, FL, CCN 108934 Rural health clinic 5% Or Greater Direct Ownership Interest (16.6%) Aug 1, 2012
Louis J Radnothy DO PAUmatilla, FL, CCN 103901 Rural health clinic 5% Or Greater Direct Ownership Interest (16.6%)
General Partnership Interest		 Aug 1, 2012
Aug 1, 2012

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 24

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.

View all 24

Hospital & facility affiliations 5

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": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515628800000",
    "number": "1922079508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10250 SE 167TH PLACE RD UNIT 5",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344918682",
            "telephone_number": "352-307-9925",
            "fax_number": "352-307-8442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10250 SE 167TH PLACE RD",
            "address_2": "SUITE 5",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344918686",
            "telephone_number": "352-307-9925",
            "fax_number": "352-307-8442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEEMA",
        "first_name": "SHAHBAZ",
        "middle_name": "ALI",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-31",
        "last_updated": "2018-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME85893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265427000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerfield, FL

Sources for this page

Verify at the official NPI Registry.