Individual provider Active NPI

Shlomo Pascal, MD

  • Psychiatry Physician
  • Pembroke Pines, FL
National Provider Identifier
1124171616
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
76692 Issued in FL
Practice address
1806 N Flamingo Rd Ste 331
Pembroke Pines, FL 33028-1037
Phone
(561) 539-5055
NPI assigned
Jan 19, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 76692 FL Primary

Addresses

Primary practice location

1806 N Flamingo Rd Ste 331
Pembroke Pines, FL 33028-1037

Mailing address

1806 N Flamingo Rd Ste 331
Pembroke Pines, FL 33028-1037
Phone (561) 539-5055

Other identifiers 1

IdentifierTypeStateIssuer
259967800MedicaidFL

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
I20080125000081 FL Practitioner - Psychiatry 3577645860 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fort Lauderdale Hospital IncGroup PAC ID 7911983853, 10 clinicians

Practice addresses (Care Compare)

5757 N Dixie Hwy
Oakland Park, FL 33334-4135
Phone (954) 734-2000

790 NW 107TH Ave
Suite 110
Miami, FL 33172-3100
Phone (305) 964-5426

Merit-based Incentive Payment System (MIPS)

Final score
95.64 of 100Reported as group
Quality
69.31
Improvement activities
40
Cost
97.77

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
76692FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Turning Point, Inc. Psychiatry CurrentSince Dec 27, 2021 Accepting new patients
Yny Behavioral Services LLC CurrentSince May 23, 2023 Accepting new patients
Fort Lauderdale Hospital Inc. Psychiatry CurrentSince Nov 1, 2018 Accepting new patients

Locations

790 NW 107th Ave
Ste 110
Miami, FL 33172
Phone (305) 964-5426

13550 SW 88th St
Ste 180
Miami, FL 33186
Phone (305) 385-9919

5757 N Dixie Hwy
Oakland Park, FL 33334
Phone (954) 463-4321

Networks

  • HealthSun Health Plans Network

Organizations & group practices 3

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": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1124171616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 N FLAMINGO RD STE 331",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281037",
            "telephone_number": "561-539-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 N FLAMINGO RD STE 331",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281037",
            "telephone_number": "561-539-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASCAL",
        "first_name": "SHLOMO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "76692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "259967800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.