DR. SHOBA THEIVANAYAGAM M.D
NPI 1730388067
Internal Medicine - Gastroenterology in Kissimmee, FL

Active since July 17, 2007PECOS Enrolled
812 W OAK ST, KISSIMMEE, FL 34741(407) 201-3686(407) 201-3739 Get Directions Write a Review

NPPES record last updated: October 27, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2018, Oct 16, 2017, Mar 31, 2017 (3 updates tracked since 2017).

About Dr. Shoba Theivanayagam M.d NPPES

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

DR. SHOBA THEIVANAYAGAM M.D (NPI 1730388067) is an individual gastroenterology provider in Kissimmee, Florida, licensed in Florida (ME148442) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1730388067
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameDR. SHOBA THEIVANAYAGAMCredential: M.D
Location Address812 W OAK STKissimmee, FL 34741-6625
Mailing AddressPo Box 782009Orlando, FL 32878-2009 · (407) 201-3686 · Fax (407) 201-3739
Fax(407) 201-3739
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJuly 17, 2007
Last NPPES UpdateOctober 27, 20213 updates tracked since enumeration
NPPES CertifiedOctober 8, 2021
NPI 1730388067 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 · ME148442
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.
812 W OAK ST, Kissimmee, FL 34741

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 (PECOS)

Dr. Shoba Theivanayagam M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6103060769
PECOS Enrollment IDI20210521002131
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 3

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.
145 services89 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.
61 services61 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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

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 34741 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.

Other Providers at the Same Location NPPES 3

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

Clinic/Center (Urgent Care)
812 W OAK ST, OAK MEDICAL PLAZA I
KISSIMMEE, FL 34741
Internal Medicine (Gastroenterology)
812 W OAK ST
KISSIMMEE, FL 34741
Physician Assistant
812 W OAK ST
KISSIMMEE, FL 34741

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 Shoba Theivanayagam's NPI number?

The NPI number for Shoba Theivanayagam is 1730388067. It was assigned to this individual provider in the NPPES registry on July 17, 2007.

Where is Shoba Theivanayagam located?

Shoba Theivanayagam practices at 812 W Oak St, Kissimmee, FL 34741. The listed phone number is (407) 201-3686.

What is Shoba Theivanayagam's specialty?

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

Is Shoba Theivanayagam enrolled in Medicare?

Yes. Shoba Theivanayagam is registered in the Medicare PECOS enrollment system.

What insurance does Shoba Theivanayagam accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Wellpoint list Shoba Theivanayagam 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 Shoba Theivanayagam affiliated with any hospitals?

According to CMS data, Shoba Theivanayagam is affiliated with Adventhealth Orlando.

When was this NPI record last updated?

The NPPES record for Shoba Theivanayagam was last updated on October 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.