Organization Active NPI

Shaker Hamadiya MD

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1124656426
Registry record updated Jul 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SHAKER HAMADIYA MD
Practice address
40 SW 13TH St Ste 402
Miami, FL 33130-4343
Phone
(305) 469-1188
Fax
(786) 641-5626
NPI assigned
Mar 31, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2020

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

Authorized official

Name
Shaker Hamadiya, MDNPI 1124407564
Title
Owner/MD
Phone
(919) 259-2627

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 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

Other names 1

  • S & S WELLNESS AND AESTHETICS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200623002290 FL Part B Supplier - Clinic/Group Practice 4880016708 Receives reassigned benefits from 2 practitioners
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595548800000",
    "number": "1124656426",
    "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": {
        "organization_name": "SHAKER HAMADIYA MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-31",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A",
        "authorized_official_last_name": "HAMADIYA",
        "authorized_official_first_name": "SHAKER",
        "authorized_official_title_or_position": "OWNER/MD",
        "authorized_official_telephone_number": "919-259-2627",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "S & S WELLNESS AND AESTHETICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.