Individual provider Active NPI

Shane Michael Drahos, M.D.

  • Sleep Medicine (Family Medicine) Physician
  • Winter Garden, FL
National Provider Identifier
1952780934
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Family Medicine) PhysicianTaxonomy code 207QS1201X
License
ME133830 Issued in FL
Practice address
187 S. Boyd Street
Winter Garden, FL 34787-3574
Phone
(407) 573-5733
Fax
(407) 573-5491
NPI assigned
May 25, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Family Medicine) Physician 207QS1201X ME133830 FL Primary

Addresses

Primary practice location

187 S. Boyd Street
Winter Garden, FL 34787-3574

Mailing address

PO Box 941455
Maitland, FL 32794-1455
Phone (407) 573-5733

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
I20171014000256 FL Practitioner - Sleep MedicinePractitioner - Family Practice 9436424603 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sleep Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Drahos Sleep LLCGroup PAC ID 4385001395, 3 clinicians

Practice addresses (Care Compare)

187 S Boyd St
Winter Garden, FL 34787-3574
Phone (407) 573-5733

Hospital & facility affiliations

  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007
  • Adventhealth Deland Hospital, Deland, FL, CCN 100045

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Drahos Sleep LLC Sleep Medicine CurrentSince Apr 15, 2023 Accepting new patients

Locations

187 S Boyd St
Winter Garden, FL 34787
Phone (253) 691-2414

161 S Boyd St
Ste 120
Winter Garden, FL 34787

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 1

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 3

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": "1432512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1952780934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 941455",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327941455",
            "telephone_number": "407-573-5733",
            "fax_number": "407-573-5491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 S. BOYD STREET",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347873574",
            "telephone_number": "407-573-5733",
            "fax_number": "407-573-5491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAHOS",
        "first_name": "SHANE",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-25",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS1201X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sleep Medicine",
            "state": "FL",
            "license": "ME133830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Garden, FL

Sources for this page

Verify at the official NPI Registry.