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WAROOT SHAY NIMJAREANSUK DO
NPI 1356878292
Emergency Medicine - Sports Medicine in Leesburg, FL

Active since May 22, 2017PECOS EnrolledAccepts Medicare Assignment
78.18/100
CMS Quality Rating
701 MEDICAL PLAZA DR, LEESBURG, FL 34748(352) 273-7002(352) 273-7388 Get Directions Write a Review

NPPES record last updated: April 22, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 22, 2024, Apr 7, 2023, Apr 9, 2022 and 2 more (5 updates tracked since 2017).

About Waroot Shay Nimjareansuk Do NPPES

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

WAROOT SHAY NIMJAREANSUK DO (NPI 1356878292) is an individual sports medicine provider in Leesburg, Florida, licensed in Florida (OS17529) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Miami Beach, and is a graduate of Nova Southeastern College Of Osteo Medicine (2017).

NPPES Registry Identity

NPI1356878292
Entity TypeIndividualMale
Primary Taxonomy207PS0010X
Provider Legal NameWAROOT SHAY NIMJAREANSUKCredential: DO
Location Address701 MEDICAL PLAZA DRLeesburg, FL 34748-7313
Mailing AddressPo Box 112727Gainesville, FL 32611-2727 · (352) 273-7002 · Fax (352) 273-7388
Phone(352) 273-7002
Fax(352) 273-7388
Sole ProprietorNo
Medical School CMSNova Southeastern College Of Osteo MedicineGraduated 2017
Enumeration DateMay 22, 2017
Last NPPES UpdateApril 22, 20245 updates tracked since enumeration
NPPES CertifiedApril 22, 2024
✔ NPI 1356878292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyEmergency Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207PS0010X
License✔ Licensed in FL · OS17529
Definition
An emergency physician with special knowledge in sports medicine is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention and management of injury and illness. A sports medicine physician has knowledge and experience in the promotion of wellness and the role of exercise in promoting a healthy lifestyle. Knowledge of exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation and epidemiology is essential to the practice of sports medicine.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 303251 (NY), OS17529 (FL)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
701 MEDICAL PLAZA DR, Leesburg, FL 34748
Open in Google Maps ↗

Secondary Practice Location 1

Location 14300 Alton Rd Rm 209-AMiami Beach, FL 33140-2948 · Phone (305) 535-7953

Other Identifiers 1

Medicaid111181000FL

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

Waroot Shay Nimjareansuk Do 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 ID7618381872
PECOS Enrollment IDI20240502002790, I20240507004209
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 Waroot Nimjareansuk reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Florida Emergency Physicians Kang And Associates MD LLC
34 mi
Emergency Medical Services
601 E ROLLINS ST
Orlando, FL 32803
  • Reassigned Medicare billing, Florida enrollment
  • 619 clinicians in this Medicare group
NPI 1811983752 (407) 303-5600
Florida Clinical Practice Association Inc
64 mi
Surgery
1600 SW ARCHER RD
Gainesville, FL 32610
  • Reassigned Medicare billing, Florida enrollment
  • 3,324 clinicians in this Medicare group
NPI 1063463768 (352) 265-7922
Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc
728 mi
Health Maintenance Organization
13285 MINNIEVILLE ROAD
Woodbridge, VA 22192
NPI 1972275196 (301) 816-2424

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34748 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

78.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.54
Promoting Interoperability100
Improvement Activities40
Cost54.74

Other Providers at the Same Location NPPES 10

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

MISS MARTHA ANN OLSON P.A.
Physician Assistant (Surgical)
701 MEDICAL PLAZA DR
LEESBURG, FL 34748
Lake County (352) 326-8115
FLORIDA CLINICAL PRACTICE ASSOCIATION
Durable Medical Equipment & Medical Supplies
701 MEDICAL PLAZA DR
LEESBURG, FL 34748
Lake County (352) 273-7001
HALLIE SPICER PA-C
Physician Assistant
701 MEDICAL PLAZA DR
LEESBURG, FL 34748
Lake County (352) 630-6250
DR. ALI ZAREZADEH MD
Orthopaedic Surgery
701 MEDICAL PLAZA DR
LEESBURG, FL 34748
Lake County (352) 630-6250
DR. JEFFREY MANDUME KERINA M.D.
Orthopaedic Surgery
701 MEDICAL PLAZA DR
LEESBURG, FL 34748
Lake County (352) 326-8115
DR. CLAUDIA L THOMAS M.D.
Orthopaedic Surgery
701 MEDICAL PLAZA DR
LEESBURG, FL 34748
Lake County (352) 326-8115
TRI-COUNTY ORTHOPAEDIC CENTER, PA
Clinic/Center (Physical Therapy)
701 MEDICAL PLAZA DR
LEESBURG, FL 34748
Lake County (352) 326-8115
TRI-COUNTY ORTHOPAEDIC CENTER,PA
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
701 MEDICAL PLAZA DR
LEESBURG, FL 34748
Lake County (352) 326-8115

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 Waroot Nimjareansuk's NPI number?

The NPI number for Waroot Nimjareansuk is 1356878292. It was assigned to this individual provider in the NPPES registry on May 22, 2017.

Where is Waroot Nimjareansuk located?

Waroot Nimjareansuk practices at 701 Medical Plaza Dr, Leesburg, FL 34748. The listed phone number is (352) 273-7002.

What is Waroot Nimjareansuk's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Sports Medicine, with taxonomy code 207PS0010X.

Is Waroot Nimjareansuk enrolled in Medicare?

Yes. Waroot Nimjareansuk 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 Waroot Nimjareansuk's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Waroot Nimjareansuk reassigns Medicare benefits to 3 organizations: Florida Emergency Physicians Kang And Associates MD LLC (Orlando, FL), Florida Clinical Practice Association Inc (Gainesville, FL) and Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (Woodbridge, VA). 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 Waroot Nimjareansuk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Waroot Nimjareansuk was last updated on April 22, 2024. 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.