DR. AHMED NEZAR SHOBASSY (M.D.) – Gastroenterology Physician, NPI 1013132000
Gastroenterology Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,474 GASTROENTEROLOGY in FL
Provider Addresses for DR. AHMED NEZAR SHOBASSY (M.D.)
1690 Dunlawton Ave Ste 210
Port Orange, FL 321278980
Phone: (386) 763-4920
Fax: (386) 763-4939
Type: Location
PO BOX 844658
DALLAS, TX 752844658
Phone: (254) 724-2111
Type: Mailing
300 UNIVERSITY BLVD BLDG A
ROUND ROCK, TX 786651032
Phone: (512) 509-0200
Fax: (512) 509-2229
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $261.
Total Amount is formed as General ($261) + Research ($0) + Ownership ($0) = $261.
Last reported payment date: 2024-10-16 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($125).
Total Amount
$261
General + Research + Ownership
Payments
6
Total payment records
General Amount
$261
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-16
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2011-03-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110314000368 | I | Gastroenterology | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 45380 | Biopsy of large bowel using a flexible endoscope | 107 | 107 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 94 | 93 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 80 | 60 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 63 | 63 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 57 | 45 | $0 |
Insurance plans in this area (ZIP 32127)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Radiation Oncology | TX | |
| U R O L O G Y | TX | |
| General Surgery | OK | |
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| - | TX | |
| Anesthesiology Assistant | TX | |
| - | TX | |
| - | TX | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TX | |
| - | TX |
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