Lester Frederick Shalloway, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

39095 Issued in FL

Practice address

10095 N Kendall Dr
Suite 102
Miami, FL 33176-1797

Phone

(305) 595-5455

Fax

(305) 595-5227

NPI assigned

Feb 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Internal Medicine

Education

University of Miami, LM Miller School of Medicine, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Primehealth Physicians LLCGroup PAC ID 0042456907, 34 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Primehealth Physicians LLC

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1871838193
  Medicare reassignment Care Compare group
• Value Healthcare Partners

  • Preferred Provider Organization
  • Miami, FL
  • NPI 1316763394
  Medicare reassignment NPD

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1083689772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10095 N KENDALL DR",
            "address_2": "SUITE 102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761797",
            "telephone_number": "305-595-5455",
            "fax_number": "305-595-5227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10095 N KENDALL DR",
            "address_2": "SUITE 102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761797",
            "telephone_number": "305-595-5455",
            "fax_number": "305-595-5227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHALLOWAY",
        "first_name": "LESTER",
        "middle_name": "FREDERICK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "39095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lester.shalloway@phpllc.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "10095 N Kendall Dr",
            "address_2": "SUITE 102",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331761797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shajen Corp
• Shake-a-Leg Miami Inc
• Oranit Shaked, M.D.
• Shaker Hamadiya MD
• Mina Shaker, M.D.
• Shalom ABA Services
• Shalom Alf Corp
• Shalom Alf Home LLC
• Shalom Home Health Service, Inc
• Shalom Meidcal Group LLC

• Internal Medicine Physician in Miami, FL
• Providers in Miami, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; 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.

Verify at the official NPI Registry.