Individual provider Active NPI

Charlene G. Shaw, D.O.

  • Internal Medicine Physician
  • Margate, FL
National Provider Identifier
1154309557
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS8413 Issued in FL
Practice address
5951 Colonial Dr
Margate, FL 33063-5661
Phone
(872) 231-3162
Fax
(561) 367-7886
NPI assigned
Jan 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS8413 FL Primary

Addresses

Primary practice location

5951 Colonial Dr
Margate, FL 33063-5661

Mailing address

PO Box 734951
Chicago, IL 60673-4951
Phone (702) 899-0595

Other practice location 1

2000 E Commercial Blvd
Fort Lauderdale, FL 33308-3744
Phone (872) 231-3162

Other practice location 2

1330 S Andrews Ave
Ft Lauderdale, FL 33316-1838
Phone (872) 231-3162

Other practice location 3

2121 E Commercial Blvd
Ft Lauderdale, FL 33308-3821
Phone (872) 231-3162

Other practice location 4

15955 Bass Creek Rd
Miramar, FL 33027-3667
Phone (872) 231-3162

Other identifiers 2

IdentifierTypeStateIssuer
009795400MedicaidFL
P01234568OtherFLRAILROAD MC

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
I20090903000620 FL Practitioner - Internal MedicinePractitioner - Geriatric Medicine 2860547494 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Philadelphia College of Osteopathic Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Docs PCGroup PAC ID 0547626871, 181 clinicians

Practice addresses (Care Compare)

1701 NE 26TH St
Wilton Manors, FL 33305-1412
Phone (954) 566-8353

830 Lakeside Cir
Pompano Beach, FL 33060-7748
Phone (609) 585-1122

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
QMC LLC CurrentSince Feb 14, 2024 Accepting new patients
Geriatric Care Specialists Inc CurrentSince Aug 21, 2025 Accepting new patients
First Docs PC Internal Medicine CurrentSince May 1, 2025 Accepting new patients
Nursing Home Consultants LLC Internal Medicine Past Accepting new patients
LTC Hospitalists Inc Internal Medicine PastSince Sep 20, 2020 Accepting new patients
Radial Health Southeast LLC Internal Medicine Past Accepting new patients

Locations

401 E Sample Rd
Deerfield Beach, FL 33064
Phone (954) 776-5700

1600 S Andrews Ave
Ft Lauderdale, FL 33316
Phone (954) 355-4000

5951 Colonial Dr
Margate, FL 33063
Phone (202) 415-9235

2801 NW 79th Ave
Miami, FL 33122
Phone (786) 466-1000

333 SE 2nd Ave
Ste 2000
Miami, FL 33131
Phone (201) 581-3411

830 Lakeside Cir
Pompano Beach, FL 33060
Phone (954) 247-5801

7031 SW 62nd Ave
South Miami, FL 33143
Phone (305) 284-7585

7901 NW 88th Ave
Tamarac, FL 33321
Phone (954) 315-9686

1701 NE 26th St
Wilton Manors, FL 33305
Phone (386) 562-4899

Organizations & group practices 6

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 6

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": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1154309557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 734951",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606734951",
            "telephone_number": "702-899-0595",
            "fax_number": "702-977-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5951 COLONIAL DR",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330635661",
            "telephone_number": "872-231-3162",
            "fax_number": "561-367-7886"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 E Commercial Blvd",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333083744",
            "country_code": "US",
            "telephone_number": "872-231-3162",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1330 S Andrews Ave",
            "address_purpose": "LOCATION",
            "city": "Ft Lauderdale",
            "state": "FL",
            "postal_code": "333161838",
            "country_code": "US",
            "telephone_number": "872-231-3162",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2121 E Commercial Blvd",
            "address_purpose": "LOCATION",
            "city": "Ft Lauderdale",
            "state": "FL",
            "postal_code": "333083821",
            "country_code": "US",
            "telephone_number": "872-231-3162",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15955 Bass Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Miramar",
            "state": "FL",
            "postal_code": "330273667",
            "country_code": "US",
            "telephone_number": "872-231-3162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAW",
        "first_name": "CHARLENE",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-05",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS8413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009795400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MC",
            "identifier": "P01234568",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Margate, FL

Sources for this page

Verify at the official NPI Registry.