Individual provider Active NPI

Shaheen Michael Counts, MD

  • Otolaryngology Physician
  • Bayamon, PR
National Provider Identifier
1972727063
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
24174 Issued in PR
Practice address
10-13 Ave Aguas Buenas
Bayamon, PR 00959-6677
Phone
(939) 353-8284
NPI assigned
Apr 12, 2007
Last updated
May 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X A122136 CA
Otolaryngology Physician 207Y00000X 24174 PR Primary
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X A122136 CA

Addresses

Primary practice location

10-13 Ave Aguas Buenas
Bayamon, PR 00959-6677

Mailing address

10-13 Ave Aguas Buenas
Bayamon, PR 00959-6677
Phone (939) 353-8284

Other practice location 1

3307 Renner Dr
Fortuna, CA 95540-3119
Phone (707) 725-9383

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address scounts1657587@oc.providencedirect.org
Direct Messaging Address scounts1657587@oc.providencedirect.org
Direct Messaging Address scounts362290@ewd.direct.hshs.org Direct St. Nicholas Hospital-Sisters of the Third Order of St Francis

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120926000804 CA Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 2769631266 Reassigns benefits to 1 organization
I20231011000135 VA Practitioner - Otolaryngology 2769631266 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Plastic and Reconstructive Surgery
Education
Baylor College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians

Practice addresses (Care Compare)

3307 Renner Dr
Fortuna, CA 95540-3119
Phone (714) 449-4800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24174PRMDOtolaryngology Physician
A122136CAMDPlastic Surgery within the Head & Neck (Otolaryngology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Winchester Medical Center CurrentSince Sep 11, 2023 Accepting new patients
Valley Physician Enterprise, Inc. CurrentSince Aug 29, 2023 Accepting new patients
Providence Medical Foundation Current Accepting new patients
Winchester Medical Center CurrentSince Sep 11, 2023 Accepting new patients
Providence Medical Foundation CurrentSince Mar 31, 2025 Accepting new patients
Valley Physician Enterprise, Inc CurrentSince Aug 29, 2023 Accepting new patients
Winchester Medical Center Current Accepting new patients
Evolve Skin and Health LLC Otolaryngology CurrentSince May 4, 2026 Accepting new patients

Locations

200 W Ctr St Promenade
Ste 300
Anaheim, CA 92805
Phone (714) 449-4841

3307 Renner Dr
Fortuna, CA 95540
Phone (707) 725-6108

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842

10-13 Ave Aguas Buenas
Bayamon, PR 00959
Phone (939) 353-8284

1000 N Shenandoah Ave
Front Royal, VA 22630
Phone (540) 636-0300

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

1870 Amherst St
Ste 2B
Winchester, VA 22601
Phone (540) 536-7290

220 Campus Blvd
Ste 210
Winchester, VA 22601

Interoperability endpoints

  • Direct secure messaging: scounts1657587@oc.providencedirect.org
  • Direct secure messaging: scounts362290@ewd.direct.hshs.org

Organizations & group practices 9

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 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": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1972727063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10-13 AVE AGUAS BUENAS",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009596677",
            "telephone_number": "939-353-8284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10-13 AVE AGUAS BUENAS",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009596677",
            "telephone_number": "939-353-8284"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3307 Renner Dr",
            "address_purpose": "LOCATION",
            "city": "Fortuna",
            "state": "CA",
            "postal_code": "955403119",
            "country_code": "US",
            "telephone_number": "707-725-9383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COUNTS",
        "first_name": "SHAHEEN",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A122136",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "PR",
            "license": "24174",
            "primary": true
        },
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "CA",
            "license": "A122136",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "scounts1657587@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "2773 Harris St Ste B",
            "city": "Eureka",
            "state": "CA",
            "country_code": "US",
            "postal_code": "955034866",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "scounts1657587@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "3307 Renner Dr",
            "city": "Fortuna",
            "state": "CA",
            "country_code": "US",
            "postal_code": "955403119",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "scounts362290@ewd.direct.hshs.org",
            "affiliation": "Y",
            "affiliationName": "St. Nicholas Hospital-Sisters of the Third Order of St Francis",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "3113 Saemann Ave",
            "city": "Sheboygan",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530811957",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.