Individual provider Active NPI

Aleksey Petrovich Shubin, MD

  • General Practice Physician
  • Dania Beach, FL
National Provider Identifier
1003445602
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME158126 Issued in FL
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

Updated by the provider on Mar 3, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221026002852 FL Practitioner - General Practice 3274909643 Reassigns benefits to 1 organization

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
Associatesmd Medical Group IncGroup PAC ID 6507294311, 38 clinicians

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

LicenseStateTypeSpecialty
ME158126FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Holdings Company LLC Current Accepting new patients
Palm Medical Center Little Havana, LLC CurrentSince Sep 8, 2025 Accepting new patients
Palm Medical Centers General Practice CurrentSince Sep 8, 2025 Accepting new patients
Associatesmd Medical Group Inc CurrentSince Mar 1, 2026 Accepting new patients
Associatesmd Medical Group Inc CurrentSince Mar 1, 2026 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.