Active NPI
Aleksey Petrovich Shubin, MD
- General Practice Physician
- Dania Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ME158126
- Practice address
- 1437 S Federal Hwy
Dania Beach, FL 33004-4348 - Phone
- (954) 399-9941
- Fax
- (954) 399-9987
- NPI assigned
- Apr 6, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | ME158126 | FL | Primary |
Addresses
Primary practice location
1437 S Federal Hwy
Dania Beach, FL 33004-4348
Mailing address
4780 SW 64TH Ave Ste 103
Davie, FL 33314-4400
Phone (954) 434-1705
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1437 S Federal Hwy
Dania Beach, FL 33004-4348
Phone (954) 399-9941
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME158126 | FL | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Holdings Company LLC | Current | Accepting new patients | |
| Palm Medical Center Little Havana, LLC | Current | Accepting new patients | |
| Palm Medical Centers | General Practice | Current | Accepting new patients |
| Associatesmd Medical Group Inc | Current | Accepting new patients | |
| Associatesmd Medical Group Inc | Current | Accepting new patients |
Locations
2600 S Douglas Rd
Ste 308
Coral Gables, FL 33134
Phone (305) 777-9590
1437 S Federal Hwy
Dania Beach, FL 33004
Phone (954) 399-9941
4780 SW 64th Ave
Ste 103
Davie, FL 33314
4780 SW 64th Ave
Davie, FL 33314
6849 Taft St
Hollywood, FL 33024
Phone (954) 266-2920
7541 N State Road 7
Ste 33073
Parkland, FL 33073
7541 N State Road 7
Parkland, FL 33073
Phone (954) 510-1500
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JIDJCA/Endpoint/JIDJCA
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Davie, FL
- NPI 1558900472
-
- Urgent Care Clinic/Center
- Pembroke Pines, FL
- NPI 1073141156
-
- Primary Care Clinic/Center
- Coral Gables, FL
- NPI 1336583707
-
- Clinic/Center
- Miami, FL
- NPI 1497271118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772496000000",
"number": "1003445602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4780 SW 64TH AVE STE 103",
"city": "DAVIE",
"state": "FL",
"postal_code": "333144400",
"telephone_number": "954-434-1705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1437 S FEDERAL HWY",
"city": "DANIA BEACH",
"state": "FL",
"postal_code": "330044348",
"telephone_number": "954-399-9941",
"fax_number": "954-399-9987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHUBIN",
"first_name": "ALEKSEY",
"middle_name": "PETROVICH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-06",
"last_updated": "2026-03-03",
"certification_date": "2026-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ME158126",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dania Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.