Individual provider Active NPI

Shaun Dane Villiers Smithson

  • Interventional Cardiology Physician
  • Miami, FL
National Provider Identifier
1073744520
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
ME128642 Issued in FL
Practice address
4770 Biscayne Blvd Ste 680
Miami, FL 33137-3244
Phone
(786) 529-6172
NPI assigned
Jul 31, 2009
Last updated
Sep 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X ME128642 FL Primary
Hospitalist Physician 208M00000X ME128642 FL

Addresses

Primary practice location

4770 Biscayne Blvd Ste 680
Miami, FL 33137-3244

Mailing address

4770 Biscayne Blvd Ste 680
Miami, FL 33137-3244
Phone (786) 529-6172

Other practice location 1

21097 NE 27th Ct Ste 110
Aventura, FL 33180-1206
Phone (786) 529-6172

Other identifiers 1

IdentifierTypeStateIssuer
017967400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, LA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160901001149 FL Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 8022339571 Reassigns benefits to 7 organizations
I20260602001218 LA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 8022339571 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Howard University College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lee Health System IncGroup PAC ID 9335672146, 1,381 clinicians
Simonmed Imaging Florida LLCGroup PAC ID 6608036108, 302 clinicians
Biscayne Echo Associates IncGroup PAC ID 1951291780, 13 clinicians
Mercy Ekg and Echo Readers, IncGroup PAC ID 9436127164, 7 clinicians

Practice addresses (Care Compare)

13340 Metro Pkwy
Suite 200
Fort Myers, FL 33966-4818
Phone (239) 343-0550

1915 Aloma Ave
Winter Park, FL 32792-3212
Phone (321) 203-5710

20900 Biscayne Blvd
Aventura, FL 33180-1407
Phone (305) 682-7378

21097 NE 27TH CT
Suite 110
Miami, FL 33180-1206
Phone (832) 799-4493

2121 S Orange Ave
Simonmed Imaging Kaley II
Orlando, FL 32806-3067
Phone (407) 514-1870

2310 Bayview LN
North Miami, FL 33181-2432
Phone (480) 306-6949

3663 S Miami Ave
Miami, FL 33133-4253
Phone (305) 854-4400

3801 Biscayne Blvd
Suite 300
Miami, FL 33137-9800
Phone (305) 571-0620

4800 Park Blvd N
Simonmed Imaging Park Blvd
Pinellas Park, FL 33781-3534
Phone (727) 525-2121

613 Oakfield Dr
Brandon, FL 33511-5714
Phone (813) 703-8027

6138 Kennerly Rd
Suite 100
Jacksonville, FL 32216-4393
Phone (904) 638-0217

685 NE 59TH St
Shaun D Smithson MD
Miami, FL 33137-2362
Phone (480) 306-6949

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
75.71
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME128642FLMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Biscayne Echo Associates Inc CurrentSince Aug 1, 2020 Accepting new patients
South Florida International Cardiology Consultants Inc Interventional Cardiology CurrentSince Sep 1, 2024 Accepting new patients
Nchmd, Inc CurrentSince Mar 3, 2026 Accepting new patients
Mercy Ekg & Echo Readers, Inc CurrentSince Apr 6, 2024 Accepting new patients
Simonmed Imaging Florida LLC CurrentSince Jun 8, 2020 Accepting new patients
One Miami Medical, LLC Interventional Cardiology CurrentSince Oct 28, 2025 Accepting new patients
Lee Health System Inc CurrentSince May 25, 2025 Accepting new patients
Nchmd Inc CurrentSince Mar 3, 2026 Accepting new patients
Lee Health System Inc CurrentSince May 25, 2025 Accepting new patients

Locations

1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900

13340 Metro Pkwy
Ste 200
Fort Myers, FL 33966
Phone (239) 343-0550

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

21097 NE 27th Ct
Ste 100
Miami, FL 33180
Phone (305) 792-0012

21097 NE 27th Ct
Ste 110
Miami, FL 33180
Phone (305) 384-4720

3663 S Miami Ave
Miami, FL 33133
Phone (305) 285-2131

3801 Biscayne Blvd
Ste 300
Miami, FL 33137
Phone (305) 673-0601

4770 Biscayne Blvd
Ste 680
Miami, FL 33137
Phone (786) 529-6172

311 Tamiami Trl N
Naples, FL 34102
Phone (239) 659-3937

399 9th St N
Ste 300300A
Naples, FL 34102
Phone (239) 436-5634

399 Tamiami Trl N
Ste 300
Naples, FL 34102
Phone (239) 624-4200

6000 Turkey Lake Rd
Ste 107
Sand Lake, FL 32819
Phone (407) 264-7160

5927 SW 70th St
Unit 439031
South Miami, FL 33243
Phone (305) 669-2833

11375 S Sam Houston Pkwy W
Ste 150
Houston, TX 77031
Phone (281) 879-6800

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GGFFDD/Endpoint/GGFFDD

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1248998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790726400000",
    "number": "1073744520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4770 BISCAYNE BLVD STE 680",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331373244",
            "telephone_number": "786-529-6172",
            "fax_number": "305-506-4387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4770 BISCAYNE BLVD STE 680",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331373244",
            "telephone_number": "786-529-6172"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21097 NE 27th Ct Ste 110",
            "address_purpose": "LOCATION",
            "city": "Aventura",
            "state": "FL",
            "postal_code": "331801206",
            "country_code": "US",
            "telephone_number": "786-529-6172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITHSON",
        "first_name": "SHAUN",
        "middle_name": "DANE VILLIERS",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-31",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME128642",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME128642",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017967400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.