DR. IMTIAZUDDIN SHAIK (MD) – Surgery Physician, NPI 1194981498

DR. IMTIAZUDDIN SHAIK (MD) is a healthcare provider. based in Lutz, Florida. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. A121450 (CA). The NPI Number for DR. IMTIAZUDDIN SHAIK (MD) is 1194981498

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. IMTIAZUDDIN SHAIK (MD)
NPI
1194981498
Phone
(407) 624-3062
Address
PO BOX 2667
Enumeration Date
6 August 2008
Last Update Date
25 April 2023

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
9153203393
Graduation Year
2006 (20 years ago)
PAC ID
3072777127
Group Practice PAC ID
9931446481
Professional Enrollment ID
I20221122001543
Address ID
TX799023320EL2001XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience90
Completeness75
Years active:17State licenses:4Digital endpointsOther names

2,619 GENERAL SURGERY in NY

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Provider Addresses for DR. IMTIAZUDDIN SHAIK (MD)

  • PO BOX 2667

    ROOM 0127

    LUTZ, FL 335482667

    Phone: (407) 624-3062

    Fax: (407) 613-2223

    Type: Mailing

  • Westchester Medical Center, 100, Woods Road, Mount Pleasant, Town of Mount Pleasant, Westchester, New York, 10595, United States

    ROOM 0127

    VALHALLA, NY 105951530

    Phone: (914) 493-7867

    Type: Location

  • 9430 TURKEY LAKE RD STE 114

    ORLANDO, FL 328198015

    Phone: (407) 354-1202

    Fax: (407) 351-8801

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $9,682.

Total Amount is formed as General ($9,682) + Research ($0) + Ownership ($0) = $9,682.

Last reported payment date: 2024-04-23 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($9,661).

Total Amount

$9,682

General + Research + Ownership

Payments

16

Total payment records

General Amount

$9,682

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-23

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2023-10-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20160725002763IGeneral SurgeryFLTBD
I20221122001543IGeneral SurgeryTXTBD
I20231025000548IGeneral SurgeryOKTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4932$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes4025$0
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes3229$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2727$0
View full utilization report →

Insurance plans in this area (ZIP 33548)

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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: 9931446481View full group profile
NameSpecialtyState
General SurgeryMS
Nurse PractitionerTX
Nurse PractitionerTX
Orthopedic SurgeryVA
Nurse PractitionerTX
General SurgeryID
General Surgery, Surgical OncologyOH
General SurgeryTX
Neurosurgery, Osteopathic Manipulative MedicineTX
Physician AssistantOK

Reviews

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Frequently asked questions

What is the registry number for DR. IMTIAZUDDIN SHAIK (MD)?
The registry entry for DR. IMTIAZUDDIN SHAIK (MD) shows NPI 1194981498.
Quick check: is DR. IMTIAZUDDIN SHAIK (MD) active?
Public NPPES data shows DR. IMTIAZUDDIN SHAIK (MD) with an active NPI status right now.
What does the directory say DR. IMTIAZUDDIN SHAIK (MD) does?
Insurance directories may phrase it differently, but here DR. IMTIAZUDDIN SHAIK (MD) maps to Surgery Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DR. IMTIAZUDDIN SHAIK (MD)?
The directory associates DR. IMTIAZUDDIN SHAIK (MD) with Lutz, Florida. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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