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SHAHAB NOURI PA-C
NPI 1992517916
Physician Assistant in Lecanto, FL

Active since January 25, 2025PECOS Enrolled
525 N DACIE PT, LECANTO, FL 34461(813) 321-1786(813) 321-1787 Get Directions Write a Review

NPPES record last updated: May 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shahab Nouri Pa-c NPPES

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

SHAHAB NOURI PA-C (NPI 1992517916) is an individual physician assistant in Lecanto, Florida, licensed in Florida (PA9121103) and active in the NPI registry since January 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1992517916
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSHAHAB NOURICredential: PA-C
Location Address525 N DACIE PTLecanto, FL 34461-8399
Mailing Address18228 N Us Highway 41Lutz, FL 33549-4400 · (813) 321-1786 · Fax (813) 321-1787
Phone(813) 321-1786
Fax(813) 321-1787
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJanuary 25, 2025
Last NPPES UpdateMay 2, 2026
NPPES CertifiedMay 2, 2026
✔ NPI 1992517916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · PA9121103
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
525 N DACIE PT, Lecanto, FL 34461
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shahab Nouri Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID345719563
PECOS Enrollment IDI20260518001956
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34461 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
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 17

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

DR. WILLIAM ARCH WELTON III MD
Dermatology (MOHS-Micrographic Surgery)
525 N DACIE PT
LECANTO, FL 34461
Citrus County (352) 746-2200
DR. MARGARET ANNE COLLINS MD
Dermatology
525 N DACIE PT
LECANTO, FL 34461
Citrus County (352) 746-2200
TRICIA VU TRAN PA-C
Physician Assistant
525 N DACIE PT
LECANTO, FL 34461
Citrus County (813) 321-1786
DR. RALPH EUGENE MASSULLO JR. MD
Dermatology (MOHS-Micrographic Surgery)
525 N DACIE PT
LECANTO, FL 34461
Citrus County (352) 746-2200
ASHTON MAE WESTER ARNP
Nurse Practitioner
525 N DACIE PT
LECANTO, FL 34461
Citrus County (352) 746-2200
JASON SIREL APRN
Nurse Practitioner (Gerontology)
525 N DACIE PT
LECANTO, FL 34461
Citrus County (352) 746-2200
MR. BRIAN KEITH BONOMO PAC
Physician Assistant
525 N DACIE PT
LECANTO, FL 34461
Citrus County (352) 746-2200
NANCY HINDALONG APRN
Nurse Practitioner
525 N DACIE PT
LECANTO, FL 34461
Citrus County (352) 746-2200

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 Shahab Nouri's NPI number?

The NPI number for Shahab Nouri is 1992517916. It was assigned to this individual provider in the NPPES registry on January 25, 2025.

Where is Shahab Nouri located?

Shahab Nouri practices at 525 N Dacie Pt, Lecanto, FL 34461. The listed phone number is (813) 321-1786.

What is Shahab Nouri's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Shahab Nouri enrolled in Medicare?

Yes. Shahab Nouri is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shahab Nouri was last updated on May 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.