NPIMap

Individual provider Active NPI

Nitesh J Shekhadia, M.D.

  • Specialist
  • Lake Mary, FL
National Provider Identifier
1962405365
Registry record updated Dec 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME86606 Issued in FL
Practice address
755 Stirling Center PL
Lake Mary, FL 32746-5714
Phone
(407) 333-1718
Fax
(407) 333-1633
NPI assigned
May 31, 2005
Last updated
Dec 21, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME86606 FL Primary

Addresses

Primary practice location

755 Stirling Center PL
Lake Mary, FL 32746-5714

Mailing address

755 Stirling Center PL
Lake Mary, FL 32746-5714
Phone (407) 333-1718

Other identifiers 1

IdentifierTypeStateIssuer
267278200MedicaidFL

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
I20060509000670 FL Practitioner - NeurologyPractitioner - Interventional Pain Management 4385655075 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Interventional Pain Management
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians
Florida Neurology PAGroup PAC ID 1355390600, 6 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

755 Stirling Ctr PL
Lake Mary, FL 32746-5714
Phone (407) 333-1718

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.74 of 100Reported as group
Quality
100
Improvement activities
40
Cost
83.34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME86606FLMDPediatric Allergy/Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Neurology PA Specialist CurrentSince Aug 7, 2003 Accepting new patients

Locations

75 Fox Ridge Ct
Ste C
Debary, FL 32713
Phone (386) 668-2152

755 Stirling Center Pl
Lake Mary, FL 32746
Phone (407) 333-1718

2445 S Volusia Ave
Ste C3
Orange City, FL 32763
Phone (386) 734-1136

1403 Medical Plaza Dr
Ste 204
Sanford, FL 32771
Phone (407) 321-1080

2710 Dora Ave
Tavares, FL 32778
Phone (352) 508-5076

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/OOz5hkiC68x4B2tV8TWG2SVCrgoGQtPF/
  • FHIR API: https://fhir4.healow.com/fhir/r4/HEGJDD

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.

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": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324425600000",
    "number": "1962405365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 STIRLING CENTER PL",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465714",
            "telephone_number": "407-333-1718",
            "fax_number": "407-333-1633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 STIRLING CENTER PL",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465714",
            "telephone_number": "407-333-1718",
            "fax_number": "407-333-1633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEKHADIA",
        "first_name": "NITESH",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2011-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME86606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267278200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

Verify at the official NPI Registry.