Individual provider Active NPI

Niranjan J Shintre, M.D.

  • Surgery Physician
  • Coral Springs, FL
National Provider Identifier
1215132980
Registry record updated Nov 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME102451 Issued in FL
Practice address
3001 Coral Hills Dr
Suite 320
Coral Springs, FL 33065-4172
Phone
(954) 755-0111
Fax
(954) 755-2209
NPI assigned
Jun 20, 2007
Last updated
Nov 10, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME102451 FL Primary

Addresses

Primary practice location

3001 Coral Hills Dr
Suite 320
Coral Springs, FL 33065-4172

Mailing address

3001 Coral Hills Dr
Suite 320
Coral Springs, FL 33065-4172
Phone (954) 755-0111

Other identifiers 2

IdentifierTypeStateIssuer
ME102451OtherFLMEDICAL LICENSE
000534200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME102451FLMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Laxmi Health LLC PastSince Jun 1, 2013 Accepting new patients
Redtag-19, LLC PastSince Jan 7, 2021 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289347200000",
    "number": "1215132980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 CORAL HILLS DR",
            "address_2": "SUITE 320",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654172",
            "telephone_number": "954-755-0111",
            "fax_number": "954-755-2209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 CORAL HILLS DR",
            "address_2": "SUITE 320",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654172",
            "telephone_number": "954-755-0111",
            "fax_number": "954-755-2209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHINTRE",
        "first_name": "NIRANJAN",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-20",
        "last_updated": "2010-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME102451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME102451",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000534200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.