Individual provider Active NPI

Shahrukh Bengali, MD

  • Anesthesiology Physician
  • Gainesville, FL
National Provider Identifier
1992267470
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME163540 Issued in FL
Practice address
1600 SW Archer Road
Gainesville, FL 32610-3001
Phone
(352) 273-8610
Fax
(352) 273-8612
NPI assigned
Apr 3, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X ME163540 FL Primary

Addresses

Primary practice location

1600 SW Archer Road
Gainesville, FL 32610-3001

Mailing address

PO Box 100254
Gainesville, FL 32610-3001
Phone (352) 273-8610

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
I20231026000662 FL Practitioner - Anesthesiology 0345644589 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Florida College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Clinical Practice Association IncGroup PAC ID 0345146254, 1,886 clinicians

Practice addresses (Care Compare)

7540 W University Ave
Uf Health Internal Medicine Tower Hill
Gainesville, FL 32607-7609
Phone (352) 265-0335

Hospital & facility affiliations

  • Uf Health Shands Hospital Hospital, Gainesville, FL, CCN 100113

Merit-based Incentive Payment System (MIPS)

Final score
47.54 of 100Reported as apm
Quality
38.49
Promoting interoperability
0
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
96.19 of 100Reported as group
Promoting interoperability
92
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME163540FLMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Pain and Rehabilitation Associates Inc CurrentSince May 1, 2024 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Sep 15, 2023 Accepting new patients
Florida Pain and Rehabilitation Associates Inc Current Accepting new patients
Florida Pain and Rehabilitation Associates Inc CurrentSince May 1, 2024 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Sep 15, 2023 Accepting new patients

Locations

7540 W University Ave
Gainesville, FL 32607
Phone (352) 265-0335

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

6026 NW 1st Pl
Ste 20
Gainesville, FL 32607
Phone (352) 331-3353

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

918 Rolling Acres Rd
Ste 102
Lady Lake, FL 32159
Phone (352) 751-6582

440 SW Perimeter Gln
Lake City, FL 32025
Phone (386) 719-9663

1910 SW 18th Ct
#200
Ocala, FL 34471
Phone (352) 629-7011

150 SW Chamber Ct
Ste 105
Port St Lucie, FL 34986
Phone (772) 807-9000

13945 N US Highway 441
The Villages, FL 32159
Phone (352) 277-3500

1503 Buenos Aires Blvd
Ste 150
The Villages, FL 32159
Phone (352) 750-5882

1693 Lee Rd
Ste B
Winter Park, FL 32789
Phone (407) 622-5766

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: sbengali91335@direct.phhs.org
  • Direct secure messaging: sbengali643728@direct.shands.ufl.edu

Organizations & group practices 6

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 8

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": "1554249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1992267470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100254",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326103001",
            "telephone_number": "352-273-8610",
            "fax_number": "352-273-8612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SW ARCHER ROAD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326103001",
            "telephone_number": "352-273-8610",
            "fax_number": "352-273-8612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENGALI",
        "first_name": "SHAHRUKH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-03",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME163540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.