Individual provider Active NPI

Shukshin NG, D.O.

  • Family Medicine Physician
  • Pembroke Pines, FL
National Provider Identifier
1144601584
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS13186 Issued in FL
Practice address
501 NW 179TH Ave
Pembroke Pines, FL 33029-2807
Phone
(954) 442-2828
Fax
(954) 442-3366
NPI assigned
Jun 11, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS13186 FL Primary

Addresses

Primary practice location

501 NW 179TH Ave
Pembroke Pines, FL 33029-2807

Mailing address

PO Box 850001, Dept 8340
Orlando, FL 32885-0001
Phone (813) 536-7277

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shukshin.ng@mcmgfl.eclinicaldirectplus.com Health Information Exchange (HIE)

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
I20161101001072 FL Practitioner - Family Practice 1254619950 Reassigns benefits to 1 organization
Practice locations: Tamarac, FL

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hernando Pasco Primary Care LLCGroup PAC ID 0547231474, 88 clinicians

Practice addresses (Care Compare)

501 NW 179TH Ave
Pembroke Pines, FL 33029-2807
Phone (954) 442-2828

Hospital & facility affiliations

  • Memorial Hospital Miramar Hospital, Miramar, FL, CCN 100285

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hernando Pasco Primary Care LLC Family Medicine CurrentSince Jan 1, 2025 Accepting new patients
Independant Ipa,LLC Past Accepting new patients

Locations

11373 Cortez Blvd
Ste 206
Brooksville, FL 34613
Phone (352) 596-3032

3465 Galt Ocean Dr
Ste 101
Ft Lauderdale, FL 33308
Phone (954) 566-7775

501 NW 179th Ave
Pembroke Pines, FL 33029
Phone (954) 442-2828

971 Village Blvd
West Palm Beach, FL 33409
Phone (561) 688-5030

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HIBHCD
  • Direct secure messaging: shukshin.ng@mcmgfl.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/CIDHCD

Organizations & group practices 2

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 1

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": "1433980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1144601584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850001, DEPT 8340",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328850001",
            "telephone_number": "813-536-7277",
            "fax_number": "855-830-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 NW 179TH AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330292807",
            "telephone_number": "954-442-2828",
            "fax_number": "954-442-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NG",
        "first_name": "SHUKSHIN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-11",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS13186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shukshin.ng@mcmgfl.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "501 NW 179th Ave",
            "city": "Pembroke Pines",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330292807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.