Individual provider Active NPI

Shefali Mehta

  • Anesthesiology Physician
  • Hollywood, FL
National Provider Identifier
1285164335
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME158069 Issued in FL
Practice address
1005 Joe Dimaggio Dr
Hollywood, FL 33021-5487
Phone
(954) 265-5324
NPI assigned
Jun 12, 2017
Last updated
Aug 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 125.071065 IL
Anesthesiology Physician 207L00000X ME158069 FL Primary

Addresses

Primary practice location

1005 Joe Dimaggio Dr
Hollywood, FL 33021-5487

Mailing address

1535 Bay Dr
Miami Beach, FL 33141-4716

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
I20221129000535 FL Practitioner - AnesthesiologyPractitioner - Pediatric Medicine 3678842804 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pediatric Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of MiamiGroup PAC ID 3274795109, 2,346 clinicians

Practice addresses (Care Compare)

1611 NW 12 Ave
Miami, FL 33136-1005
Phone (305) 243-3100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.93 of 100Reported as group
Quality
78.79
Promoting interoperability
100
Improvement activities
40
Cost
71.44

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME158069FLMDAnesthesiology Physician
125.071065ILMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Miami Current Accepting new patients
Anesthesia Physician Solutions of South Florida, LLC Anesthesiology CurrentSince Jul 1, 2023 Accepting new patients
University of Miami CurrentSince Sep 1, 2023 Accepting new patients
Anesthesia Physician Solutions of South Florida, LLC Anesthesiology CurrentSince Jul 1, 2023 Accepting new patients
University of Miami Anesthesiology CurrentSince Sep 1, 2023 Accepting new patients
Sheridan Healthcorp, Inc. Anesthesiology CurrentSince Nov 15, 2022 Accepting new patients
Sheridan Healthcorp Inc Anesthesiology Current Accepting new patients
Sheridan Healthcorp Inc Anesthesiology CurrentSince Nov 15, 2022 Accepting new patients

Locations

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

1005 N 35th Ave
Hollywood, FL 33021
Phone (954) 265-5324

5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549

11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

1801 NW 9th Ave
Fl 6
Miami, FL 33136
Phone (305) 355-5006

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

401 NW 42nd Ave
Plantation, FL 33317
Phone (954) 513-6434

1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502

7201 N University Dr
Tamarac, FL 33321
Phone (954) 721-2200

Interoperability endpoints

  • Direct secure messaging: smehta168989@direct.med.miami.edu

Organizations & group practices 8

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 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": "1497225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1285164335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 BAY DR",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331414716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 JOE DIMAGGIO DR",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330215487",
            "telephone_number": "954-265-5324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "SHEFALI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-12",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "125.071065",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME158069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.