Individual provider Active NPI

Shaker Hamadiya, M.D.

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1124407564
Registry record updated Jul 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME134791 Issued in FL
Practice address
40 SW 13TH St Ste 402
Miami, FL 33130-4343
Phone
(305) 469-1188
Fax
(786) 641-5626
NPI assigned
May 19, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A162416 CA
Family Medicine Physician 207Q00000X ME134791 FL Primary

Addresses

Primary practice location

40 SW 13TH St Ste 402
Miami, FL 33130-4343

Mailing address

40 SW 13TH St Ste 402
Miami, FL 33130-4343
Phone (305) 469-1188

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
I20190114002448 FL Practitioner - Family PracticePractitioner - Internal Medicine 1557607421 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Internal Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

999 Brickell Ave
Suite 920
Miami, FL 33131-3059
Phone (305) 469-1188

Hospital & facility affiliations

  • Health Care of South Florida Corp Home health agency, Pembroke Pines, FL, CCN 109552

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A162416CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shaker Hamadiya MD Family Medicine CurrentSince Feb 2, 2020 Accepting new patients

Locations

40 SW 13th St
Ste 402
Miami, FL 33130
Phone (305) 469-1188

999 Brickell Ave
Ste 920
Miami, FL 33131
Phone (305) 448-2600

Organizations & group practices 1

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.

Hospital & facility affiliations 2

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": "1431993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1124407564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 SW 13TH ST STE 402",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331304343",
            "telephone_number": "305-469-1188",
            "fax_number": "786-641-5626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 SW 13TH ST STE 402",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331304343",
            "telephone_number": "305-469-1188",
            "fax_number": "786-641-5626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMADIYA",
        "first_name": "SHAKER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-19",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A162416",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME134791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.