Individual provider Active NPI

Leila Shafiq, MD

  • Internal Medicine Physician
  • Brandon, FL
National Provider Identifier
1962142125
Registry record updated Jul 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME171377 Issued in FL
Practice address
427 S Parsons Ave Ste 120
Brandon, FL 33511-5252
Phone
(813) 443-3399
Fax
(813) 381-3398
NPI assigned
Mar 29, 2022
Last updated
Jul 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2025

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 ME171377 FL Primary

Addresses

Primary practice location

427 S Parsons Ave Ste 120
Brandon, FL 33511-5252

Mailing address

10453 Stelling Dr
Riverview, FL 33578-7594
Phone (813) 709-7771

Other practice location 1

10453 Stelling Dr
Riverview, FL 33578-7594
Phone (813) 709-7771

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
I20250321002442 FL Practitioner - Internal Medicine 4183146822 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME171377FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greenbrook Medical Practice, PLLC Internal Medicine CurrentSince Feb 26, 2025 Accepting new patients

Locations

427 S Parsons Ave
Ste 120
Brandon, FL 33511
Phone (813) 358-4249

10453 Stelling Dr
Riverview, FL 33578
Phone (813) 709-7771

11200 E Dr Martin Luther King Jr Blvd
Ste 107
Seffner, FL 33584
Phone (813) 443-3399

Networks

  • 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1648512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752883200000",
    "number": "1962142125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10453 STELLING DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335787594",
            "telephone_number": "813-709-7771",
            "fax_number": "813-821-9782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 S PARSONS AVE STE 120",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115252",
            "telephone_number": "813-443-3399",
            "fax_number": "813-381-3398"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10453 Stelling Dr",
            "address_purpose": "LOCATION",
            "city": "Riverview",
            "state": "FL",
            "postal_code": "335787594",
            "country_code": "US",
            "telephone_number": "813-709-7771",
            "fax_number": "813-821-9782",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAFIQ",
        "first_name": "LEILA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-29",
        "last_updated": "2025-07-19",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME171377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.