Individual provider Active NPI

Shawn Pate, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Kissimmee, FL
National Provider Identifier
1124552757
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
ME168765 Issued in FL
Practice address
3480 Polynesian Isle Blvd
Kissimmee, FL 34746-4654
Phone
(877) 352-5864
Fax
(407) 507-2616
NPI assigned
Apr 20, 2017
Last updated
Apr 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA11481500 NJ
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 25MA11481500 NJ
Critical Care Medicine (Internal Medicine) Physician 207RC0200X ME168765 FL Primary
Pulmonary Disease Physician 207RP1001X 23MA11481500 NJ

Addresses

Primary practice location

3480 Polynesian Isle Blvd
Kissimmee, FL 34746-4654

Mailing address

3480 Polynesian Isle Blvd
Kissimmee, FL 34746-4654
Phone (877) 352-5864

Other practice location 1

15540 W Colonial Dr
Winter Garden, FL 34787-9556
Phone (877) 352-5864

Other practice location 2

4553 Pleasant Hill Rd
Kissimmee, FL 34759-3422
Phone (877) 352-5864

Other practice location 3

717 E Michigan St
Orlando, FL 32806-4645
Phone (877) 352-5864

Other practice location 4

10920 Moss Park Rd Ste 100
Orlando, FL 32832-6087
Phone (877) 352-5864

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
I20240628000641 FL Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 7416310222 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Hospital Medical Group IncGroup PAC ID 0749186153, 1,735 clinicians
Florida Lung Asthma and Sleep Specialists, P.a.Group PAC ID 1052587573, 18 clinicians

Practice addresses (Care Compare)

2600 Westhall LN
Maitland, FL 32751-7102
Phone (407) 200-2700

3480 Polynesian Isle Blvd
Kissimmee, FL 34746-4654
Phone (877) 352-5864

400 Celebration PL
Celebration, FL 34747-4970

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME168765FLMDCritical Care Medicine (Internal Medicine) Physician
25MA11481500NJMDCritical Care Medicine (Internal Medicine) Physician
23MA11481500NJMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Respro Sleep CurrentSince Jul 23, 2025 Accepting new patients
Florida Hospital Medical Group Inc Internal Medicine CurrentSince Sep 9, 2024 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Sep 9, 2024 Accepting new patients
Florida Lung Asthma and Sleep Specialists, P.a. Pulmonary Disease CurrentSince Sep 1, 2024 Accepting new patients

Locations

3480 Polynesian Isle Blvd
Kissimmee, FL 34746
Phone (407) 507-2615

4553 Pleasant Hill Rd
Kissimmee, FL 34759
Phone (407) 483-8965

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

10920 Moss Park Rd
Ste 100
Orlando, FL 32832
Phone (321) 325-9997

10929 Moss Park Rd Ste 118
Ste 118
Orlando, FL 32832

717 E Michigan St
Orlando, FL 32806
Phone (407) 515-8585

15540 W Colonial Dr
Winter Garden, FL 34787
Phone (877) 352-5864

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/FGCHDD
  • Direct secure messaging: shawn.pate.p1@direct.flass.nextgenshare.com
  • Direct secure messaging: spate3839716@adventhealth.direct-ci.com

Organizations & group practices 4

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 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": "1492646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775001600000",
    "number": "1124552757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3480 POLYNESIAN ISLE BLVD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347464654",
            "telephone_number": "877-352-5864",
            "fax_number": "407-507-2479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3480 POLYNESIAN ISLE BLVD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347464654",
            "telephone_number": "877-352-5864",
            "fax_number": "407-507-2616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15540 W Colonial Dr",
            "address_purpose": "LOCATION",
            "city": "Winter Garden",
            "state": "FL",
            "postal_code": "347879556",
            "country_code": "US",
            "telephone_number": "877-352-5864",
            "fax_number": "352-404-8313",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4553 Pleasant Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347593422",
            "country_code": "US",
            "telephone_number": "877-352-5864",
            "fax_number": "407-910-4759",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "717 E Michigan St",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328064645",
            "country_code": "US",
            "telephone_number": "877-352-5864",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10920 Moss Park Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328326087",
            "country_code": "US",
            "telephone_number": "877-352-5864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATE",
        "first_name": "SHAWN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-20",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA11481500",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NJ",
            "license": "25MA11481500",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "FL",
            "license": "ME168765",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "23MA11481500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.