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SHAILESH GARG MD
NPI 1962630269
Surgery - Trauma Surgery in Miami, FL

Active since June 24, 2009PECOS EnrolledAccepts Medicare Assignment
1611 NW 12TH AVE, MIAMI, FL 33136(224) 578-3006 Get Directions Write a Review

NPPES record last updated: October 7, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 7, 2022, Jun 19, 2019, Apr 20, 2018 (3 updates tracked since 2018).

About Shailesh Garg Md NPPES

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

SHAILESH GARG MD (NPI 1962630269) is an individual trauma surgery provider in Miami, Florida, licensed in Arizona (FG6111695) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1962630269
Entity TypeIndividualMale
Primary Taxonomy2086S0127X
Provider Legal NameSHAILESH GARGCredential: MD
Location Address1611 NW 12TH AVEMiami, FL 33136-1005
Mailing Address10764 N 125th PlScottsdale, AZ 85259-5097 · (224) 578-3006
Phone(224) 578-3006
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateJune 24, 2009
Last NPPES UpdateOctober 7, 20223 updates tracked since enumeration
NPPES CertifiedOctober 7, 2022
✔ NPI 1962630269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Trauma SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0127X
Licenses✔ Licensed in AZ · FG6111695✔ Licensed in OK · 39199✔ Licensed in IA · MD-42419
Definition
Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.
Also ListedSurgeryTaxonomy 208600000X · License MD-42419 (IA)
1611 NW 12TH AVE, Miami, FL 33136
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Secondary Practice Locations 2

Location 1200 Hawkins DrIowa City, IA 52242-1009 · Phone (319) 356-3934
Location 26161 S Yale AveTulsa, OK 74136-1902 · Phone (918) 494-1805 · Fax (918) 494-4573

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and more.Insurance ›

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

Shailesh Garg 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 ID9335432129
PECOS Enrollment IDI20160802000302, I20221004000841
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

5

Medicare enrollment records show Shailesh Garg reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mercy Health System Corporation
1,267 mi
Multi-Specialty
580 N WASHINGTON ST
Janesville, WI 53548
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,155 clinicians in this Medicare group
NPI 1598718603 (608) 741-7630
Honorhealth Ambulatory
1,958 mi
Emergency Medicine
5750 E BASELINE RD
Mesa, AZ 85206
  • Reassigned Medicare billing, Arizona enrollment
  • 822 clinicians in this Medicare group
NPI 1891518130 (602) 833-6900
Honorhealth Medical Group, LLC
1,961 mi
Family Medicine
16716 E PALISADES BLVD STE 101A
Fountain Hills, AZ 85268
  • Reassigned Medicare billing, Arizona enrollment
  • 502 clinicians in this Medicare group
NPI 1023683620 (480) 587-6900
Acute Care Surgical Specialists, LLC
1,977 mi
Emergency Medical Services
16601 N 40TH ST STE 104
Phoenix, AZ 85032
  • Reassigned Medicare billing, Arizona enrollment
  • 32 clinicians in this Medicare group
NPI 1225311871 (602) 633-3721
Kern County Hospital Authority
2,386 mi
General Acute Care Hospital
1700 MOUNT VERNON AVENUE
Bakersfield, CA 93306
  • Reassigned Medicare billing, California enrollment
  • 532 clinicians in this Medicare group
NPI 1376623538 (661) 326-2000

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

Areas of Expertise CMS Part B claims 7

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.

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.
375 services316 patients
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.
275 services191 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
130 services109 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.
45 services45 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.
19 services18 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.
16 services16 patients

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.

DR. AKUA GYANEWAH ASARE MD
Student in an Organized Health Care Education/Training Program
1611 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 355-8264
MARILUZ SANCHEZ PHARM.D.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1611 NW 12TH AVE, PHARMACY ADM. OFFICES/EAST TOWER BASEMENT 069
MIAMI, FL 33136
Miami-Dade County (305) 585-7309
DR. TASHA JOYTI N. D. COOKE TASHA COOKE
Student in an Organized Health Care Education/Training Program
1611 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 243-3670
DR. JUANITA ANN MARIE HUNTER M.D.
Pediatrics (Pediatric Cardiology)
1611 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 585-6042
WANDA LAVERNE MCGOWAN-BRAYNEN ARNP
Nurse Practitioner (Adult Health)
1611 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 585-1111
DR. PERTTI KALEVI HAKALA M.D.
Anesthesiology
1611 NW 12TH AVE, CENTRAL 300
MIAMI, FL 33136
Miami-Dade County (305) 585-6970
JAYLOU M VELEZ TORRES M.D.
Pathology (Anatomic Pathology)
1611 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 585-8381
ANNE-ISABELLE SOPHIA REME MD
Surgery
1611 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 585-1280

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 Shailesh Garg's NPI number?

The NPI number for Shailesh Garg is 1962630269. It was assigned to this individual provider in the NPPES registry on June 24, 2009.

Where is Shailesh Garg located?

Shailesh Garg practices at 1611 NW 12th Ave, Miami, FL 33136. The listed phone number is (224) 578-3006.

What is Shailesh Garg's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Trauma Surgery, with taxonomy code 2086S0127X.

Is Shailesh Garg enrolled in Medicare?

Yes. Shailesh Garg 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 Shailesh Garg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shailesh Garg reassigns Medicare benefits to 5 organizations: Mercy Health System Corporation (Janesville, WI), Honorhealth Ambulatory (Mesa, AZ), Honorhealth Medical Group, LLC (Fountain Hills, AZ), Acute Care Surgical Specialists, LLC (Phoenix, AZ) and Kern County Hospital Authority (Bakersfield, CA). 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 Shailesh Garg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shailesh Garg accept?

Health plans from Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and Oscar Health Plan, Inc. list Shailesh Garg 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.

When was this NPI record last updated?

The NPPES record for Shailesh Garg was last updated on October 7, 2022. 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.