Dr Shaik Ejazuddin, MD - Medicare Internal Medicine in Tavares, FL

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Dr Shaik Ejazuddin, MD is a medicare enrolled "Internal Medicine" physician in Tavares, Florida. He graduated from medical school in 1987 and has 39 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Mid Florida Hospital Specialists Pa, Florida Hospital Medical Group Inc, Inpatient Care Specialists Llc, Central Florida Inpatient Medicine Llc, Orlando Inpatient Medicine Pa and his current practice location is 1741 David Walker Dr, Tavares, Florida. You can reach out to his office (for appointments etc.) via phone at (352) 742-8836.

Dr Shaik Ejazuddin is licensed to practice in Florida (license number ME74544) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1073501185.

Contact Information

Dr Shaik Ejazuddin, MD
1741 David Walker Dr,
Tavares, FL 32778-5745
(352) 742-8836
Not Available

Map and Direction




Physician's Profile

Full NameDr Shaik Ejazuddin
GenderMale
SpecialityInternal Medicine
Experience39 Years
Location1741 David Walker Dr, Tavares, Florida
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Shaik Ejazuddin graduated from medical school in 1987
  NPI Data:
  • NPI Number: 1073501185
  • Provider Enumeration Date: 10/12/2005
  • Last Update Date: 08/31/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 0749243426
  • Enrollment ID: I20041104000827

Medical Identifiers

Medical identifiers for Dr Shaik Ejazuddin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073501185NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine ME74544 (Florida)Primary
208M00000XHospitalist ME74544 (Florida)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Adventhealth OrlandoOrlando, FLHospital
Select Specialty Hospital - The VillagesOxford, FLLong-term care hospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mid Florida Hospital Specialists Pa509262810753
Florida Hospital Medical Group Inc07491861531735
Inpatient Care Specialists Llc0345493623101
Central Florida Inpatient Medicine Llc7911805254113
Orlando Inpatient Medicine Pa074959831654

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Shaik Ejazuddin allows following entities to bill medicare on his behalf.
Entity NameMid Florida Hospital Specialists PA
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588675912
PECOS PAC ID: 5092628107
Enrollment ID: O20031106000013
Entity NameCogent Healthcare of Pensacola LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346287182
PECOS PAC ID: 1153226766
Enrollment ID: O20031205000170
Entity NameFlorida Hospital Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225034234
PECOS PAC ID: 0749186153
Enrollment ID: O20031208000807
Entity NameHalifax Healthcare Systems Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245283530
PECOS PAC ID: 1254238090
Enrollment ID: O20031218000443
Entity NameCentral Florida Inpatient Medicine LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649228859
PECOS PAC ID: 7911805254
Enrollment ID: O20031223000824
Entity NamePhysicians of Central Florida, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861421018
PECOS PAC ID: 5395712764
Enrollment ID: O20040914001352
Entity NameOrlando Inpatient Medicine PA
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902287899
PECOS PAC ID: 0749598316
Enrollment ID: O20150930002967
Entity NameFlorida Med-psych Consultants LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063905925
PECOS PAC ID: 5799115713
Enrollment ID: O20200415001189
Entity NameAdvance Neuropathy Institute LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063296929
PECOS PAC ID: 1658721279
Enrollment ID: O20231222001112
Entity NamePsynergy Health Med PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891513420
PECOS PAC ID: 0749714707
Enrollment ID: O20241113001786
Entity NameUnited Health Group and Associates LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912560442
PECOS PAC ID: 1052830288
Enrollment ID: O20250521001879
Entity NameAmerican Neuropathy Institute LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528892049
PECOS PAC ID: 8426535923
Enrollment ID: O20260127000399

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Shaik Ejazuddin is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Shaik Ejazuddin, MD
5728 Major Blvd, Ste 528,
Orlando, FL 32819-7962

Ph: (352) 742-8836		Dr Shaik Ejazuddin, MD
1741 David Walker Dr,
Tavares, FL 32778-5745

Ph: (352) 742-8836

Reviews and Comments


Internal Medicine Doctors in Tavares, FL

Mr. Ronald Roth, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1824 Salk Ave, Tavares, FL 32778
Phone: 352-253-0244    Fax: 352-253-1175
Jigna Hitesh Shah, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Waterman Way, Tavares, FL 32778
Phone: 352-636-2286    
Rosemary A Cirelli, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1876 Nightingale Ln, Tavares, FL 32778
Phone: 352-742-4447    Fax: 352-748-4448
Dr. Cesar Armando Unyon, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1879 Nightingale Ln, Tavares, FL 32778
Phone: 352-343-5722    Fax: 352-343-7506
Mr. Samuel J Goss, DO
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1879 Nightingale Lane, Suite C1, Tavares, FL 32778
Phone: 352-742-1171    Fax: 352-742-7241
Cynthia A Laroe, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1840 Classique Lane, Tavares, FL 32778
Phone: 352-508-5046    Fax: 352-508-5048
Dr. Ingrid Kisha Nidra Calliste, M.D
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1865 Nightingale Ln Ste A, Tavares, FL 32778
Phone: 352-385-5800    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.