SHAHRZAD J GREY (MD) – Internal Medicine Physician, NPI 1922066604

SHAHRZAD J GREY (MD) is a healthcare provider. based in Fleming island, Florida. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. ME 94626 (FL). The NPI Number for SHAHRZAD J GREY (MD) is 1922066604

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
SHAHRZAD J GREY (MD)
NPI
1922066604
Phone
(904) 644-0092
Address
1681 Eagle Harbor Pkwy
Enumeration Date
3 May 2006
Last Update Date
29 October 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8135170137
Graduation Year
1997 (29 years ago)
PAC ID
9638066673
Group Practice PAC ID
6608768411
Professional Enrollment ID
I20070420000066
Address ID
FL33637XXXXTAXXXXXXXXXX00
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

12,378 INTERNAL MEDICINE in FL

Provider Addresses for SHAHRZAD J GREY (MD)

  • 1681 Eagle Harbor Pkwy

    Suite B

    Fleming Island, FL 320034819

    Phone: (904) 644-0092

    Fax: (904) 644-0099

    Type: Location

  • 941 W. Morse Blvd Ste 100

    Winter Park, FL 32789

    Phone: (321) 207-9029

    Fax: (844) 410-7960

    Type: Location

  • Lake Lucien Drive, Maitland, Orange County, Florida, 32810, United States

    MAITLAND, FL 327517233

    Phone: (321) 207-9029

    Fax: (844) 410-7960

    Type: Mailing

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: 2007-04-20

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
I20070420000066IInternal 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
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes254183$0
G0180Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and3629$0
G0179Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a3219$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1717$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 32003)

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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: 6608768411View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerMI
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Geriatric MedicineUT
-FL
-TX
Nurse PractitionerFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

What is the registry number for SHAHRZAD J GREY (MD)?
The registry entry for SHAHRZAD J GREY (MD) shows NPI 1922066604.
Is SHAHRZAD J GREY (MD)'s NPI status active today?
Active status means SHAHRZAD J GREY (MD)'s NPI record is not deactivated in the public file.
What services align with SHAHRZAD J GREY (MD)'s listing?
SHAHRZAD J GREY (MD)'s public classification highlights Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to SHAHRZAD J GREY (MD)?
The directory associates SHAHRZAD J GREY (MD) with Fleming Island, Florida. Check all listed addresses for suites or satellite offices.
Can I export SHAHRZAD J GREY (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.