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TALHA SHAMIM M.D.
NPI 1376573295
Internal Medicine in Ocoee, FL

Active since July 04, 2006PECOS EnrolledAccepts Medicare Assignment
1144 KELTON AVE STE 1009, OCOEE, FL 34761(407) 553-8030(407) 553-8035 Get Directions Write a Review

NPPES record last updated: October 31, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 31, 2023, Aug 10, 2022, Jul 3, 2019 (3 updates tracked since 2019).

About Talha Shamim M.d. NPPES

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

TALHA SHAMIM M.D. (NPI 1376573295) is an individual internal medicine provider in Ocoee, Florida, licensed in Florida (ME102917) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Winter Haven Hospital, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1376573295
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameTALHA SHAMIMCredential: M.D.
Location Address1144 KELTON AVE STE 1009Ocoee, FL 34761-3175
Mailing Address1144 Kelton Ave Ste 1009Ocoee, FL 34761-3175 · (407) 553-8030 · Fax (407) 533-8035
Phone(407) 553-8030
Fax(407) 553-8035
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateJuly 4, 2006
Last NPPES UpdateOctober 31, 20233 updates tracked since enumeration
NPPES CertifiedOctober 31, 2023
✔ NPI 1376573295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME102917
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License ME102917 (FL)
1144 KELTON AVE STE 1009, Ocoee, FL 34761
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Other Identifiers 1

Medicaid003171300FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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

Talha Shamim 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 ID1052203320
PECOS Enrollment IDI20110215000024
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
1,854 services604 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
233 services226 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
122 services116 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
53 services53 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
26 services26 patients

Hospital Affiliations CMS Care Compare

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

Winter Haven Hospital

Acute Care Hospitals · Winter Haven, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100052
Location200 Ave F NEWinter Haven, FL 33881 · Polk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34761 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
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 9

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
12 suppliers45 claims106 services$5.91 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers20 claims23 services$0.96 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
5 suppliers11 claims26 services$28.83 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
4 suppliers13 claims13 services$11.07 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers12 claims68 services$1.88 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers13 claims13 services$32.86 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

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

POINCIANA INTERNAL MEDICINE PA
Internal Medicine
1144 KELTON AVE STE 1009
OCOEE, FL 34761
Orange County (075) 538-0304

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 Talha Shamim's NPI number?

The NPI number for Talha Shamim is 1376573295. It was assigned to this individual provider in the NPPES registry on July 4, 2006.

Where is Talha Shamim located?

Talha Shamim practices at 1144 Kelton Ave Ste 1009, Ocoee, FL 34761. The listed phone number is (407) 553-8030.

What is Talha Shamim's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Talha Shamim enrolled in Medicare?

Yes. Talha Shamim 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.

What insurance does Talha Shamim accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Talha Shamim 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 Talha Shamim affiliated with any hospitals?

According to CMS data, Talha Shamim is affiliated with Winter Haven Hospital.

When was this NPI record last updated?

The NPPES record for Talha Shamim was last updated on October 31, 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.