Individual provider Active NPI

Maksim Shmargun, MD

  • Physical Medicine & Rehabilitation Physician
  • Sarasota, FL
National Provider Identifier
1235690652
Registry record updated Oct 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
ME163889 Issued in FL
Practice address
5511 Swift Rd
Sarasota, FL 34231-6209
Phone
(941) 921-7462
NPI assigned
Mar 28, 2019
Last updated
Oct 27, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME163889 FL
Physical Medicine & Rehabilitation Physician 208100000X ME163889 FL Primary

Addresses

Primary practice location

5511 Swift Rd
Sarasota, FL 34231-6209

Mailing address

PO Box 22239
New York, NY 10087-0001
Phone (201) 654-6397

Other practice location 1

701 Victoria St
Brandon, FL 33510-4100
Phone (813) 681-4220

Other practice location 2

2639 Curry Ln
Nokomis, FL 34275-4903
Phone (941) 244-5089

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
I20230906003194 FL Practitioner - General Practice 1850755067 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Pam Physician EnterpriseGroup PAC ID 1254628589, 34 clinicians

Practice addresses (Care Compare)

5075 Innovation Way
Jupiter, FL 33458-6101
Phone (561) 935-3002

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ms Medical Diagnostic Physical Medicine & Rehabilitation CurrentSince Apr 27, 2025 Accepting new patients
Pam Physician Enterprise Physical Medicine & Rehabilitation CurrentSince Aug 1, 2023 Accepting new patients
Pam Physician Enterprise Hospitalist Past Accepting new patients

Locations

5075 Innovation Way
Jupiter, FL 33458
Phone (561) 935-3002

6150 Edgelake Dr
Sarasota, FL 34240
Phone (217) 369-4168

1730 Mayo Dr
Tavares, FL 32778
Phone (352) 525-3001

Organizations & group practices 3

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": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793059200000",
    "number": "1235690652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22239",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100870001",
            "telephone_number": "201-654-6397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5511 SWIFT RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342316209",
            "telephone_number": "941-921-7462"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Victoria St",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335104100",
            "country_code": "US",
            "telephone_number": "813-681-4220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2639 Curry Ln",
            "address_purpose": "LOCATION",
            "city": "Nokomis",
            "state": "FL",
            "postal_code": "342754903",
            "country_code": "US",
            "telephone_number": "941-244-5089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHMARGUN",
        "first_name": "MAKSIM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-28",
        "last_updated": "2026-10-27",
        "certification_date": "2026-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME163889",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME163889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.