SHADY GUIRGUIS M.D.
NPI 1912314030
Internal Medicine - Hepatology in Orlando, FL

Active since July 21, 2014PECOS EnrolledAccepts Medicare Assignment
78.01/100
CMS Quality Rating
2415 N ORANGE AVE STE 700, ORLANDO, FL 32804(407) 303-2474(407) 303-0680 Get Directions Write a Review

NPPES record last updated: September 13, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 13, 2018, Aug 22, 2018, Jul 2, 2018 and 2 more (5 updates tracked since 2017).

About Shady Guirguis M.d. NPPES

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

SHADY GUIRGUIS M.D. (NPI 1912314030) is an individual hepatology provider in Orlando, Florida, licensed in Florida (ME136904) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1912314030
Entity TypeIndividualMale
Primary Taxonomy207RI0008X
Provider Legal NameSHADY GUIRGUISCredential: M.D.
Location Address2415 N ORANGE AVE STE 700Orlando, FL 32804
Mailing Address2415 N Orange Ave Ste 700Orlando, FL 32804-5521 · (407) 303-2474 · Fax (407) 303-0680
Fax(407) 303-0680
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateJuly 21, 2014
Last NPPES UpdateSeptember 13, 20185 updates tracked since enumeration
NPI 1912314030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · HepatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0008X
License Licensed in FL · ME136904
Definition
The discipline of Hepatology encompasses the structure, function, and diseases of the liver and biliary tract. The American Board of Internal Medicine considers Hepatology part of the subspecialty of gastroenterology. Physicians who identify themselves as Hepatologists usually, but not always, have been trained in gastrointestinal programs.
Also ListedInternal MedicineTaxonomy 207R00000X · License ME136904 (FL)
2415 N ORANGE AVE STE 700, Orlando, FL 32804

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

Shady Guirguis 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 ID8123398492
PECOS Enrollment IDI20181024003358
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 6

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 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
290 services87 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
110 services75 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
90 services33 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.
69 services63 patients
Ultrasound scan of organ tissue for measuring elasticity 76981
An ultrasound scan of organ tissue measures elasticity, or flexibility. This non-invasive procedure uses sound waves to create images of the inside of your body. It helps in assessing the health of various organs by detecting changes in their stiffness or softness.
63 services63 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
18 services18 patients

Hospital Affiliations CMS Care Compare 3

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

Adventhealth Waterman

Acute Care Hospitals · Tavares, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100057
Location1000 Waterman WayTavares, FL 32778 · Lake County
Birthing friendly

Adventhealth Daytona Beach

Acute Care Hospitals · Daytona Beach, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100068
Location301 Memorial Medical ParkwayDaytona Beach, FL 32117 · Volusia County
Emergency services Birthing friendly

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.

78.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality57.51
Promoting Interoperability100
Improvement Activities40
Cost69.18

Referred Medical Equipment & Supplies CMS DME claims 5

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

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
4 suppliers64 claims4,320 services$0.26 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers21 claims1,260 services$0.85 avg. paid by Medicare
Sirolimus, oral, 1 mg J7520
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier18 claims450 services$2.76 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
4 suppliers69 claims69 services$17.24 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
5 suppliers54 claims56 services$10.49 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 20

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

Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
2415 N ORANGE AVE STE 700
ORLANDO, FL 32804
Nurse Practitioner
2415 N ORANGE AVE STE 700
ORLANDO, FL 32804
Nurse Practitioner (Adult Health)
2415 N ORANGE AVE STE 700
ORLANDO, FL 32804
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
2415 N ORANGE AVE STE 700
ORLANDO, FL 32804
Physician Assistant
2415 N ORANGE AVE STE 700
ORLANDO, FL 32804
Internal Medicine (Pulmonary Disease)
2415 N ORANGE AVE STE 700
ORLANDO, FL 32804
Internal Medicine (Pulmonary Disease)
2415 N ORANGE AVE STE 700
ORLANDO, FL 32804
Physician Assistant
2415 N ORANGE AVE STE 700
ORLANDO, FL 32804

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 Shady Guirguis's NPI number?

The NPI number for Shady Guirguis is 1912314030. It was assigned to this individual provider in the NPPES registry on July 21, 2014.

Where is Shady Guirguis located?

Shady Guirguis practices at 2415 N Orange Ave Ste 700, Orlando, FL 32804. The listed phone number is (407) 303-2474.

What is Shady Guirguis's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hepatology, with taxonomy code 207RI0008X.

Is Shady Guirguis enrolled in Medicare?

Yes. Shady Guirguis 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 Shady Guirguis accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), UnitedHealthcare and Wellpoint list Shady Guirguis 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 Shady Guirguis affiliated with any hospitals?

According to CMS data, Shady Guirguis is affiliated with Adventhealth Orlando, Adventhealth Waterman and Adventhealth Daytona Beach.

When was this NPI record last updated?

The NPPES record for Shady Guirguis was last updated on September 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.