Individual provider Active NPI

Ryan Alan Shields, MD

  • Retina Specialist (Ophthalmology) Physician
  • Fort Lauderdale, FL
National Provider Identifier
1255726618
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
ME148306 Issued in FL
Practice address
6333 N Federal Hwy Ste 300
Ft Lauderdale, FL 33308-1909
Phone
(954) 776-6880
Fax
(954) 776-6895
NPI assigned
Apr 2, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME148306 FL
Retina Specialist (Ophthalmology) Physician 207WX0107X ME148306 FL Primary

Addresses

Primary practice location

6333 N Federal Hwy Ste 300
Ft Lauderdale, FL 33308-1909

Mailing address

6333 N Federal Hwy Ste 300
Fort Lauderdale, FL 33308-1909
Phone (954) 776-6880

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
I20210712003005 FL Practitioner - Ophthalmology 2567705783 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Northeastern Ohio University College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Vitreous ConsultantsGroup PAC ID 4082610019, 43 clinicians

Practice addresses (Care Compare)

1509 53Rd Ave W
Bradenton, FL 34207-2866
Phone (941) 924-0303

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
99
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery23

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Vitreous Consultants Ophthalmology CurrentSince Sep 1, 2021 Accepting new patients
Alliance Physicians Inc PastSince Jul 1, 2019 Accepting new patients

Locations

950 Glades Rd
Ste 1C
Boca Raton, FL 33431
Phone (305) 294-5504

1509 53rd Ave W
Bradenton, FL 34207
Phone (941) 753-0220

6298 Linton Blvd
Ste 104
Delray Beach, FL 33484

6333 N Federal Hwy
Ste 300
Ft Lauderdale, FL 33308
Phone (954) 776-6880

4000 Hollywood Blvd
Ste 190N
Hollywood, FL 33021

3535 Military Trl
Ste 205
Jupiter, FL 33458
Phone (561) 529-2625

5901 Colonial Dr
Ste 202
Margate, FL 33063
Phone (954) 970-9522

2801 SW 149th Ave
Ste 220
Miramar, FL 33027
Phone (954) 894-7020

1397 Medical Park Blvd
Ste 240
Wellington, FL 33414
Phone (561) 784-3788

Networks

  • Freedom Health HMO Network

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.

NPI Registry JSON

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

{
    "created_epoch": "1427932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1255726618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6333 N FEDERAL HWY STE 300",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333081909",
            "telephone_number": "954-776-6880",
            "fax_number": "954-776-6895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6333 N FEDERAL HWY STE 300",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333081909",
            "telephone_number": "954-776-6880",
            "fax_number": "954-776-6895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "RYAN",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-02",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME148306",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "FL",
            "license": "ME148306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.