Individual provider Active NPI

Shehla Jalal Atiq, M.D.

  • Rheumatology Physician
  • Sarasota, FL
National Provider Identifier
1952334401
Registry record updated Jun 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
ME82958 Issued in FL
Practice address
3884 Central Sarasota Pkwy
Sarasota, FL 34238-3046
Phone
(941) 244-9430
Fax
(941) 244-9437
NPI assigned
Jul 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X ME82958 FL Primary

Addresses

Primary practice location

3884 Central Sarasota Pkwy
Sarasota, FL 34238-3046

Mailing address

3884 Central Sarasota Pkwy
Sarasota, FL 34238-3046
Phone (941) 244-9430

Other identifiers 1

IdentifierTypeStateIssuer
003455200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20190604002891 OH Practitioner - Rheumatology 3173593878 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Genesis Medical Group, LLCGroup PAC ID 7719040385, 265 clinicians

Practice addresses (Care Compare)

2525 Maple Ave
Suite 1
Zanesville, OH 43701-1896
Phone (740) 454-4778

Hospital & facility affiliations

  • Genesis Hospital Hospital, Zanesville, OH, CCN 360039
  • Union Hospital Hospital, Dover, OH, CCN 360010
  • Wheeling Hospital, Inc Hospital, Wheeling, WV, CCN 510050

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME82958FLMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Medical Group, LLC CurrentSince Jun 24, 2019 Accepting new patients
Genesis Medical Group, LLC CurrentSince Jun 24, 2019 Accepting new patients
Genesis Medical Group LLC Current Accepting new patients
University of Miami Rheumatology Past Accepting new patients

Locations

61353 Southgate Rd
Ste 5
Cambridge, OH 43725
Phone (740) 421-9240

646 Chestnut St
Coshocton, OH 43812
Phone (740) 622-3370

945 Bethesda Dr
Ste 330
Zanesville, OH 43701
Phone (740) 454-4038

2951 Maple Ave
Zanesville, OH 43701
Phone (740) 454-4000

945 Bethesda Dr
Ste 200
Zanesville, OH 43701
Phone (740) 454-4788

2525 Maple Ave
Zanesville, OH 43701
Phone (740) 450-2222

2525 Maple Ave
Ste 1
Zanesville, OH 43701
Phone (740) 453-6554

Organizations & group practices 4

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 6

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": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370217600000",
    "number": "1952334401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3884 CENTRAL SARASOTA PKWY",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342383046",
            "telephone_number": "941-244-9430",
            "fax_number": "941-244-9437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3884 CENTRAL SARASOTA PKWY",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342383046",
            "telephone_number": "941-244-9430",
            "fax_number": "941-244-9437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATIQ",
        "first_name": "SHEHLA",
        "middle_name": "JALAL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2013-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "FL",
            "license": "ME82958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003455200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.