DR. HARINATH SHEELA MD
NPI 1619931409
Internal Medicine - Gastroenterology in Orlando, FL

Active since April 17, 2006PECOS EnrolledAccepts Medicare Assignment
75.5/100
CMS Quality Rating
100 N DEAN RD, SUITE101, ORLANDO, FL 32825(407) 384-7388(407) 384-7391 Get Directions Write a Review

NPPES record last updated: October 18, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Harinath Sheela Md NPPES

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

DR. HARINATH SHEELA MD (NPI 1619931409) is an individual gastroenterology provider in Orlando, Florida, licensed in Florida (ME93637) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Orlando Health, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1619931409
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. HARINATH SHEELACredential: MD
Location Address100 N DEAN RD, SUITE101Orlando, FL 32825-3710
Mailing AddressPo Box 677938Orlando, FL 32867-7938 · (407) 384-7388 · Fax (407) 384-7391
Fax(407) 384-7391
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateApril 17, 2006
Last NPPES UpdateOctober 18, 2012
NPI 1619931409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in FL · ME93637
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
100 N DEAN RD, Orlando, FL 32825

Other Identifiers 2

Medicaid273851100FL
Medicare UPINH74613FL

Accepted 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

Dr. Harinath Sheela Md 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 ID840180402
PECOS Enrollment IDI20051015000007
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 21

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.
5,291 services617 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
1,318 services201 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.
346 services227 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
298 services83 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.
245 services218 patients
Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304
An initial nursing facility visit is a daily check-up to monitor your health status. This service, lasting typically 25 minutes, involves a nurse assessing your overall wellbeing, discussing concerns, and updating your care plan as needed.
229 services196 patients

Hospital Affiliations CMS Care Compare 2

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

Orlando Health

Acute Care Hospitals · Orlando, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100006
Location52 W Underwood StOrlando, FL 32806 · Orange County
Emergency services Birthing friendly

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32825 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.

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.

75.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality40
Promoting Interoperability95
Improvement Activities40

Reported Quality Measures

e-Prescribing
87%4,722 patients1/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
92%2,352 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 13

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

Nurse Practitioner (Family)
100 N DEAN RD
ORLANDO, FL 32825
Internal Medicine (Gastroenterology)
100 N DEAN RD, SUITE 101
ORLANDO, FL 32825
Internal Medicine (Gastroenterology)
100 N DEAN RD, SUITE 101
ORLANDO, FL 32825
Nurse Practitioner (Adult Health)
100 N DEAN RD
ORLANDO, FL 32825
Clinic/Center (Ambulatory Surgical)
100 N DEAN RD, SUITE 101
ORLANDO, FL 32825
Nurse Practitioner (Family)
100 N DEAN RD
ORLANDO, FL 32825
Anesthesiology
100 N DEAN RD, SUITE 203
ORLANDO, FL 32825
Nurse Practitioner (Family)
100 N DEAN RD, SUITE 101
ORLANDO, FL 32825

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 Harinath Sheela's NPI number?

The NPI number for Harinath Sheela is 1619931409. It was assigned to this individual provider in the NPPES registry on April 17, 2006.

Where is Harinath Sheela located?

Harinath Sheela practices at 100 N Dean Rd Suite101, Orlando, FL 32825. The listed phone number is (407) 384-7388.

What is Harinath Sheela's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Harinath Sheela enrolled in Medicare?

Yes. Harinath Sheela 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 Harinath Sheela accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 6 other insurers list Harinath Sheela 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 Harinath Sheela affiliated with any hospitals?

According to CMS data, Harinath Sheela is affiliated with Orlando Health and Adventhealth Orlando.

When was this NPI record last updated?

The NPPES record for Harinath Sheela was last updated on October 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.