Active NPI
Shawn B Miller, MD
- Internal Medicine Physician
- Bonita Springs, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME80489
- Practice address
- 9500 Bonita Beach Rd SE Ste 302
Bonita Springs, FL 34135-4698 - Phone
- (239) 319-2201
- Fax
- (239) 319-2202
- NPI assigned
- Nov 1, 2006
- Last updated
- Feb 6, 2024
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME80489 | FL | Primary |
Addresses
Primary practice location
9500 Bonita Beach Rd SE Ste 302
Bonita Springs, FL 34135-4698
Mailing address
2675 Winkler Ave FL 2
Fort Myers, FL 33901-9342
Phone (877) 856-3774
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ME80489 | Other | FL | STATE LICENSE NUMBER |
| 51538A | Other | FL | MC ID |
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
- Internal Medicine
- Education
- Ohio State University College of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
11181 Health Park Blvd
Naples, FL 34110-5743
12995 S Cleveland Ave
Suite 184
Fort Myers, FL 33907-7703
Phone (239) 939-2201
13691 Metro Pkwy
Fort Myers, FL 33912-4322
13813 Metro Pkwy
Fort Myers, FL 33912-4343
Phone (239) 936-1343
1495 Pine Ridge Rd
Suite 4
Naples, FL 34109-2113
Phone (239) 594-5456
1735 SW Health Pkwy
Suite 201
Naples, FL 34109-0421
Phone (239) 249-7800
19531 Cochran Blvd
Port Charlotte, FL 33948-2081
Phone (941) 255-3535
2675 Winkler Ave
Fort Myers, FL 33901-9328
2675 Winkler Avenue
Suite 200
Fort Myers, FL 33901-9328
27160 Bay Landing Dr
Suite 201
Bonita Springs, FL 34135-4301
Phone (239) 366-5062
3369 Pine Ridge Rd
Unit 203
Naples, FL 34109-3932
Phone (239) 631-2662
3434 Hancock Bridge Pkwy
Suite 301
North Fort Myers, FL 33903-7099
Phone (877) 856-3774
400 8TH St N
Naples, FL 34102-5519
Phone (239) 261-5511
6101 Pine Ridge Rd
Naples, FL 34119-3900
Phone (239) 649-3312
6376 Pine Ridge Rd
Suite 440
Naples, FL 34119-3905
Phone (239) 307-6972
800 Goodlette N Rd
Suite 200
Naples, FL 34102-5408
Phone (239) 719-3362
800 Goodlette Rd
Suite 205
Naples, FL 34102-5408
Phone (239) 315-7538
Hospital & facility affiliations
- Millennium Home Care LLC
- Empath Home Health
- Trilogy Home Healthcare
- Preferred Care Home Health Services
- Patients First Home Care LLC
- Vitas Healthcare Corporation of Florida
- Lee Memorial Hospital
- Naples Community Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Millennium Physician Group LLC | Current | Accepting new patients | |
| Redi Med of Bonita Springs LLC | Internal Medicine | Current | Accepting new patients |
| Millennium Physician Group LLC | Internal Medicine | Current | Accepting new patients |
| Redi Med LLC | Past | Accepting new patients | |
| Naples Urgent Care PL | Internal Medicine | Past | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
9400 Bonita Beach Rd SE
Ste 101
Bonita Springs, FL 34135
Phone (239) 333-1177
9500 Bonita Beach Rd SE
Ste 302
Bonita Springs, FL 34135
Phone (239) 319-2201
2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700
3434 Hancock Bridge Pkwy
Ste 301
North Ft Myers, FL 33903
Phone 877856377411108
19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- https://api.platform.athenahealth.com/12343/brand/1/csg/1/fhir/r4
- shawn.miller.1@4290.direct.athenahealth.com
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Fort Myers, FL
- NPI 1811122880
Internal Medicine
-
- Internal Medicine Physician
- Bonita Springs, FL
- NPI 1104901586
-
- Clinic/Center
- Naples, FL
- NPI 1194737403
-
- Family Medicine Physician
- Brooksville, FL
- NPI 1073131702
-
dba Bonita Urgent Care, Estero Urgent Care, Florida Urgent Care
- Emergency Medicine Physician
- Naples, FL
- NPI 1437180114
Internal Medicine
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Trilogy Home Healthcare
- Home Health Agency
- Fort Myers, FL
- NPI 1376517862
-
dba Lee Memorial Hospital
- General Acute Care Hospital
- Fort Myers, FL
- NPI 1427806025
-
- Home Health Agency
- Port Charlotte, FL
- NPI 1700058583
-
dba NCH Healthcare System Inc
- General Acute Care Hospital
- Naples, FL
- NPI 1720085137
-
- Home Health Agency
- Sarasota, FL
- NPI 1245845312
-
dba Preferred Care Home Health Services
- Home Health Agency
- Fort Myers, FL
- NPI 1245409010
-
- Community Based Hospice Care Agency
- Boynton Beach, FL
- NPI 1467507657
-
- Community Based Hospice Care Agency
- Miami Lakes, FL
- NPI 1528113792
-
- Community Based Hospice Care Agency
- Melbourne, FL
- NPI 1669548053
-
- Community Based Hospice Care Agency
- Tallahassee, FL
- NPI 1972555464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707177600000",
"number": "1124106745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2675 WINKLER AVE FL 2",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339019342",
"telephone_number": "877-856-3774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9500 BONITA BEACH RD SE STE 302",
"city": "BONITA SPRINGS",
"state": "FL",
"postal_code": "341354698",
"telephone_number": "239-319-2201",
"fax_number": "239-319-2202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "SHAWN",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2024-02-06",
"certification_date": "2024-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME80489",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "ME80489",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MC ID",
"identifier": "51538A",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bonita Springs, FL
- Millennium House 2, LLC
- Millennium House of Southwest Florida, Inc
- Millennium Physician Group LLC
- Millennium Physician Group LLC
- Joel Scott Miller, DC
- Kendall Millman, RBT
- Mind/Mood Counseling & Coaching Centers of SWFL, PLLC (Reginald Bruno, EdD, LCSW, MCAP)
- Mindescape LLC
- Mindful Musical Minds Behavior Solutions
- Timothy S Mingee, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.