DR. WISSAM M SHAYA M.D.
NPI 1003010349
Family Medicine in Jacksonville, FL

Active since June 12, 2007PECOS EnrolledAccepts Medicare Assignment
4235 SUNBEAM RD, JACKSONVILLE, FL 32257(904) 322-8555(904) 322-8578 Get Directions Write a Review

NPPES record last updated: August 23, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 23, 2021, Oct 7, 2020 (2 updates tracked since 2020).

About Dr. Wissam M Shaya M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. WISSAM M SHAYA M.D. (NPI 1003010349) is an individual family medicine provider in Jacksonville, Florida, licensed in Florida (ME123703) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1003010349
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. WISSAM M SHAYACredential: M.D.
Location Address4235 SUNBEAM RDJacksonville, FL 32257-6013
Mailing Address2675 Winkler Ave Fl 2Fort Myers, FL 33901-9342 · (877) 856-3774 · Fax (239) 599-2612
Fax(904) 322-8578
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJune 12, 2007
Last NPPES UpdateAugust 23, 20212 updates tracked since enumeration
NPPES CertifiedAugust 23, 2021
✔ NPI 1003010349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME123703
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4235 SUNBEAM RD, Jacksonville, FL 32257

Other Identifiers 2

OtherNY876FL · Medicare
Medicaid015772000FL

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Wissam M Shaya M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557388584
PECOS Enrollment IDI20150822015059
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Wissam Shaya reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
6321 DANIELS PKWY
Fort Myers, FL 33912
  • Reassigned Medicare billing, Florida enrollment
  • 1,278 clinicians in this Medicare group
Physical Therapist
1213 MASON ST
Dearborn, MI 48124
  • Reassigned Medicare billing, Michigan enrollment
  • Medicare enrollment name: Michigan Healthcare Professionals PC
  • 741 clinicians in this Medicare group
Sports Medicine
13403 W 7 MILE RD
Detroit, MI 48235
  • Reassigned Medicare billing, Michigan enrollment
  • 3 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 19

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
312 services97 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
129 services71 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
123 services60 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
73 services55 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
72 services72 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
69 services55 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100088
Location800 Prudential DrJacksonville, FL 32207 · Duval County
Emergency services Birthing friendly

Ascension St Vincent's Southside

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100307
Location4201 Belfort RdJacksonville, FL 32216 · Duval County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32257 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers15 claims15 services$2.74 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
4235 SUNBEAM RD
JACKSONVILLE, FL 32257
Family Medicine
4235 SUNBEAM RD
JACKSONVILLE, FL 32257
Internal Medicine
4235 SUNBEAM RD
JACKSONVILLE, FL 32257
Chiropractor
4235 SUNBEAM RD
JACKSONVILLE, FL 32257

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wissam Shaya's NPI number?

The NPI number for Wissam Shaya is 1003010349. It was assigned to this individual provider in the NPPES registry on June 12, 2007.

Where is Wissam Shaya located?

Wissam Shaya practices at 4235 Sunbeam Rd, Jacksonville, FL 32257. The listed phone number is (904) 322-8555.

What is Wissam Shaya's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Wissam Shaya enrolled in Medicare?

Yes. Wissam Shaya is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Wissam Shaya's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Wissam Shaya reassigns Medicare benefits to 3 organizations: Millennium Physician Group LLC (Fort Myers, FL), Michigan Healthcare Professionals, P.C. (Dearborn, MI) and City Urgent Care PC (Detroit, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Wissam Shaya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Wissam Shaya accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and Priority Health list Wissam Shaya as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Wissam Shaya affiliated with any hospitals?

According to CMS data, Wissam Shaya is affiliated with Baptist Health Medical Center - Jacksonville and Ascension St Vincent's Southside.

When was this NPI record last updated?

The NPPES record for Wissam Shaya was last updated on August 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.