SHADIN DAVID PA
NPI 1124403704
Physician Assistant - Surgical in Wesley Chapel, FL

Q: What is Shadin David's NPI number?

The NPI number for Shadin David is 1124403704. It was assigned to this individual provider in the NPPES registry on July 24, 2015.

Q: What is Shadin David's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Shadin David was last updated on August 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since July 24, 2015PECOS EnrolledAccepts Medicare Assignment

2700 HEALING WAY STE 300, WESLEY CHAPEL, FL 33543(813) 333-1186 Get Directions Write a Review

NPPES record last updated: August 30, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 30, 2023, Apr 17, 2018, Nov 21, 2016 (3 updates tracked since 2016).

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About Shadin David Pa NPPES

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

SHADIN DAVID PA (NPI 1124403704) is an individual surgical provider in Wesley Chapel, Florida, licensed in Florida (PA9108802) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1124403704

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameSHADIN DAVIDCredential: PA

Location Address2700 HEALING WAY STE 300Wesley Chapel, FL 33543-5453

Mailing Address3345 S Dale Mabry HwyTampa, FL 33629-7817 · (813) 234-0100 · Fax (813) 234-0115

Phone(813) 333-1186

Sole ProprietorYes

Medical School CMSOtherGraduated 2015

Enumeration DateJuly 24, 2015

Last NPPES UpdateAugust 30, 20233 updates tracked since enumeration

NPPES CertifiedAugust 30, 2023

✔ NPI 1124403704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in FL · PA9108802

Also ListedPhysician AssistantTaxonomy 363A00000X · License PA9108802 (FL)

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA9108802 (FL)

2700 HEALING WAY STE 300, Wesley Chapel, FL 33543

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Other Identifiers 1

Medicaid015398600FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shadin David Pa 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 ID1557642402

PECOS Enrollment IDI20170109000091

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.

Areas of Expertise CMS Part B claims 4

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.

30 services28 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.

27 services26 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

26 services26 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

24 services24 patients

Other Providers at the Same Location NPPES 20

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

EDUARDO MORA JR. MD

Family Medicine