DR. SHALESH KAUSHAL, MD PHD - NPI NUMBER 1649225640

Summary

Provider Name: DR. SHALESH KAUSHAL, MD PHD

NPI Number: 1649225640

Clasification: Ophthalmology (207W00000X)

Organization: G BROCK MAGRUDER MD PA

Address:
1400 N US HIGHWAY 441 STE 532
THE VILLAGES, FL
ZIP 32159

Phone Number: (352) 484-1171



Detailed Information

DR. Shalesh Kaushal, MD PHD is an ophthalmologist in The Villages, FL with 27 years of experience. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. The assigned NPI number for this provider is 1649225640 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year: 1988

The provider's business address is:

1400 N US HIGHWAY 441 STE 532
THE VILLAGES, FL
ZIP 32159-985
Phone: (352) 484-1171

The enumeration date for this NPI number is 5/24/2006 and was last updated on 8/20/2013.

Map - Location of Practice

Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 207W00000X Ophthalmology 238661 MA No
2 207W00000X Ophthalmology ME86573 FL Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 G24868 MEDICARE UPIN MA

NPI Record

No. Field Name Field Value Field Definition 1
1 NPI 1649225640 The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
2 Entity Type Code 1 Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
3 Provider Last Name Legal Name KAUSHAL The last name of the provider. If the provider is an individual, this is the legal name.
4 Provider First Name SHALESH The first name of the provider, if the provider is an individual.
5 Provider Name Prefix Text DR. The name prefix or salutation of the provider if the provider is an individual; for example, Mr., Mrs., or Corporal.
6 Provider Credential Text MD PHD The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
7 Provider First Line Business Practice Location Address 1400 N US HIGHWAY 441 STE 532 The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
8 Provider Business Practice Location Address City Name THE VILLAGES The city name in the location address of the provider being identified.
9 Provider Business Practice Location Address State Name FL The State code in the location of the provider being identified.
10 Provider Business Practice Location Address Postal Code 321598985 The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
11 Provider Business Practice Location Address Country Code If outside U S US The country code in the location address of the provider being identified.
12 Provider Business Practice Location Address Telephone Number 3524841171 The telephone number associated with the location address of the provider being identified.
13 Provider Enumeration Date 5/24/2006 The date the provider was assigned a unique identifier (assigned an NPI).
14 Last Update Date 8/20/2013 The date that a record was last updated or changed.
15 Provider Gender Code M The code designating the provider’s gender if the provider is a person.
16 Healthcare Provider Taxonomy Code 1 207W00000X Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
17 Provider License Number 1 238661 The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
18 Provider License Number State Code 1 MA The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
19 Healthcare Provider Primary Taxonomy Switch 1 N
20 Healthcare Provider Taxonomy Code 2 207W00000X
21 Provider License Number 2 ME86573 The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
22 Provider License Number State Code 2 FL The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
23 Healthcare Provider Primary Taxonomy Switch 2 Y
24 Other Provider Identifier 1 G24868 Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
25 Other Provider Identifier Type Code 1 02 Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
26 Other Provider Identifier State 1 MA
27 Is Sole Proprietor N Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No

Similar Providers Nearby

NPI Provider Name NPI Type Taxonomy
1184794372 MAMDOUH HASSAN ZEINI, M.D., PH.D Individual Ophthalmology
1255306635 ISAAC SAMUEL VERGARA, M.D. Individual Ophthalmology


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This page was last updated on: 3/10/2015

(1) Field Definition Source-. Federal Register / Vol. 69, No. 15 / Friday, January 23, 2004 / Rules and Regulations - Part II Department of Health and Human Services Office of the Secretary 45 CFR Part 162 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule

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