DR. JOSHUA RUSSELL SHULTZ (M.D.) – Internal Medicine Physician, NPI 1063839421

DR. JOSHUA RUSSELL SHULTZ (M.D.) is a healthcare provider. based in Kissimmee, Florida. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. ME131417 (FL). The NPI Number for DR. JOSHUA RUSSELL SHULTZ (M.D.) is 1063839421

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOSHUA RUSSELL SHULTZ (M.D.)
NPI
1063839421
Phone
(407) 483-3376
Address
806 W OAK ST
Enumeration Date
24 March 2014
Last Update Date
8 July 2025

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Secondary Phone
4073332273
Graduation Year
2014 (12 years ago)
PAC ID
4385954296
Group Practice PAC ID
5294801536
Professional Enrollment ID
I20171017001036
Address ID
FL327463344LA4106XBLVD501
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:12State licenses:1Digital endpointsOther names

12,368 INTERNAL MEDICINE in FL

Provider Addresses for DR. JOSHUA RUSSELL SHULTZ (M.D.)

  • 806 W OAK ST

    KISSIMMEE, FL 347416625

    Phone: (407) 483-3376

    Type: Mailing

  • 806 W Oak St

    Kissimmee, FL 347416625

    Phone: (407) 483-3376

    Type: Location

  • 1403 Medical Plaza Dr Ste 102

    Sanford, FL 327711047

    Phone: (407) 871-5120

    Fax: (407) 330-9949

    Type: Location

  • 305 N MANGOUSTINE AVE STE 200

    SANFORD, FL 327711004

    Phone: (407) 871-5120

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $203.

Total Amount is formed as General ($203) + Research ($0) + Ownership ($0) = $203.

Last reported payment date: 2024-07-22 • Largest payer in this snapshot: Novo Nordisk Inc ($80).

Total Amount

$203

General + Research + Ownership

Payments

10

Total payment records

General Amount

$203

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-22

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2017-10-17

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20171017001036IInternal MedicineFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes4029$0
99213Established patient office or other outpatient visit, 20-29 minutes3329$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1212$0
View full utilization report →

Insurance plans in this area (ZIP 34741)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5294801536View full group profile
NameSpecialtyState
Internal MedicineFL
Internal MedicineFL
Nurse PractitionerFL
Family PracticeFL
Family PracticeFL
Internal MedicineFL
Internal MedicineFL
Family PracticeFL
Internal MedicineFL
Family PracticeFL

Reviews

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Frequently asked questions

Is there an official ID for DR. JOSHUA RUSSELL SHULTZ (M.D.) in U.S. healthcare records?
The official identifier for DR. JOSHUA RUSSELL SHULTZ (M.D.) is NPI 1063839421.
Is there an active status for DR. JOSHUA RUSSELL SHULTZ (M.D.)?
For scheduling context, DR. JOSHUA RUSSELL SHULTZ (M.D.) is shown as active in the registry.
What expertise is attributed to DR. JOSHUA RUSSELL SHULTZ (M.D.)?
DR. JOSHUA RUSSELL SHULTZ (M.D.)'s specialty line reads Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. JOSHUA RUSSELL SHULTZ (M.D.) located near Kissimmee?
DR. JOSHUA RUSSELL SHULTZ (M.D.) currently maps to Kissimmee, Florida in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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