DR. WAYNE E MASHAS (MD) – Surgery Physician, NPI 1629040845

DR. WAYNE E MASHAS (MD) is a healthcare provider. based in Jacksonville, Florida. specializing in COLORECTAL SURGERY (PROCTOLOGY), CRITICAL CARE (INTENSIVISTS), GENERAL SURGERY, GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 278096 (NY). The NPI Number for DR. WAYNE E MASHAS (MD) is 1629040845

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
DR. WAYNE E MASHAS (MD)
NPI
1629040845
Phone
(904) 450-6014
Address
4205 BELFORT RD STE 4015
Enumeration Date
2 February 2006
Last Update Date
21 December 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5182625633
Graduation Year
1984 (42 years ago)
PAC ID
6709901945
Group Practice PAC ID
1759293111
Professional Enrollment ID
I20210224001314
Address ID
NY122083412AL47XXXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience95
Completeness75
Years active:20State licenses:5Digital endpointsOther names

208 COLORECTAL SURGERY (PROCTOLOGY) in FL

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Provider Addresses for DR. WAYNE E MASHAS (MD)

  • Belfort Road, Pineland Gardens, Jacksonville, Duval County, Florida, 32216, United States

    JACKSONVILLE, FL 322163623

    Phone: (904) 450-6014

    Fax: (904) 450-6401

    Type: Mailing

  • 619, North Cove Boulevard, Panama City, Bay County, Florida, 32401, United States

    PANAMA CITY, FL 324013642

    Phone: (850) 913-6960

    Type: Location

  • 750 East Adams St

    Syracuse, NY 13210

    Phone: (315) 464-1800

    Fax: (315) 464-6238

    Type: Location

  • 251 SALINA MEADOWS PKWY

    STE 100

    SYRACUSE, NY 132124516

    Phone: (315) 464-2000

    Fax: (315) 464-2010

    Type: Mailing

  • 35 MEDICAL CENTER PKWY

    AUGUSTA, ME 043308160

    Phone: (207) 621-4680

    Fax: (207) 622-4085

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2021-02-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20150804003821IGeneral SurgerySCTBD
I20210224001314ICritical Care (Intensivists)NYTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32216)

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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: 1759293111View full group profile
NameSpecialtyState
N E U R O L O G YNY
-NY
-NY
A N E S T H E S I O L O G YNY
A N E S T H E S I O L O G YNY
P S Y C H I A T R YNC
Emergency Medicine, Critical Care (Intensivists)NY
Thoracic SurgeryNY
-NY
Vascular SurgeryNY

Reviews

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Frequently asked questions

What federal number belongs to DR. WAYNE E MASHAS (MD)?
The federal identifier for DR. WAYNE E MASHAS (MD) is NPI 1629040845.
Is DR. WAYNE E MASHAS (MD) currently active in the NPI registry?
CMS-published data lists DR. WAYNE E MASHAS (MD) as an active registrant.
Can you summarize DR. WAYNE E MASHAS (MD)'s specialty in plain language?
Clinically, the directory lists DR. WAYNE E MASHAS (MD) with Surgery Physician. Clinical services aligned with this taxonomy classification.
Where is DR. WAYNE E MASHAS (MD)'s primary listing?
We display Jacksonville, Florida because that is what the record indicates for DR. WAYNE E MASHAS (MD).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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