Active NPI
Michael Shodeinde
- Family Medicine Physician
- Temple Terrace, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME142887
- Practice address
- 13067 N Telecom Pkwy
Temple Terrace, FL 33637-0926 - Phone
- (813) 779-6303
- Fax
- (786) 868-0012
- NPI assigned
- Mar 30, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME142887 | FL | Primary |
| Hospitalist Physician | 208M00000X | ME142887 | FL | |
| Infectious Disease Physician | 207RI0200X | ME142887 | FL |
Addresses
Primary practice location
13067 N Telecom Pkwy
Temple Terrace, FL 33637-0926
Mailing address
2001 Kingsley Ave
Orange Park, FL 32073-5148
Other practice location 1
3614 Blanding Blvd
Jacksonville, FL 32210-5241
Phone (904) 419-7100
Other practice location 2
3416 Moncrief Rd Ste 101
Jacksonville, FL 32209-4340
Phone (904) 503-2404
Other practice location 3
2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 639-2112
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
340 NW Commerce Dr
Lake City Medical Center
Lake City, FL 32055-4709
Phone (850) 719-9000
4725 N Federal Hwy
Fort Lauderdale, FL 33308-4603
Phone (954) 771-8000
Hospital & facility affiliations
- Shands Jacksonville
- HCA Florida Lake City Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME142887 | FL | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sound Physicians of Florida IV, LLC | Single Specialty | Current | Accepting new patients |
| Sound Physicians of Florida VI LLC | Single Specialty | Current | Accepting new patients |
| Hni Medical Services of Florida, LLC | Single Specialty | Current | Accepting new patients |
| Hospital Physician Services - Southeast Professional Corporation | Single Specialty | Current | Accepting new patients |
| Cogent Healthcare of Jacksonville, LLC | Single Specialty | Current | Accepting new patients |
| Sound Physicians of Florida IV, LLC | Current | Accepting new patients | |
| Hni Hospital Services of Florida, LLC | Single Specialty | Current | Accepting new patients |
| Cogent Healthcare of Jacksonville, LLC | Current | Accepting new patients | |
| Hospital Medicine Services of FL, LLC | Single Specialty | Current | Accepting new patients |
| Guidewell Sanitas I, LLC | Single Specialty | Current | Accepting new patients |
Locations
900 N Robert Ave
Arcadia, FL 34266
Phone (863) 494-8426
8400 NW 33rd St
Ste 201
Doral, FL 33122
Phone (786) 882-2869
13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000
1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000
9400 Atlantic Blvd
Ste 11
Jacksonville, FL 32225
Phone (904) 775-3138
1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414
4901 Richard St
Jacksonville, FL 32207
Phone (904) 425-0500
655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680
15255 Max Leggett Pkwy
Jacksonville, FL 32218
Phone (904) 383-1000
340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005
60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000
615 N Bonita Ave
Panama City, FL 32401
Phone (850) 747-2020
180 SW 84th Ave
Plantation, FL 33324
Phone (954) 271-2855
1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507
3100 E Fletcher Ave
#C
Tampa, FL 33613
501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291
1900 Tebeau St
Waycross, GA 31501
Phone (912) 283-3030
Interoperability endpoints
- mshodeinde465728@direct.shands.ufl.edu
Organizations & group practices 10
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.
-
- Hospitalist Physician
- Aventura, FL
- NPI 1710684857
Single Specialty
-
- Internal Medicine Physician
- Fort Lauderdale, FL
- NPI 1417761073
Single Specialty
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1124252333
Single Specialty
-
- Critical Care Medicine (Internal Medicine) Physician
- Panama City, FL
- NPI 1144851411
Single Specialty
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1679048284
Single Specialty
-
- Internal Medicine Physician
- Palm Coast, FL
- NPI 1740633635
Single Specialty
-
- Hospitalist Physician
- Monroe, GA
- NPI 1760410385
Single Specialty
-
- Internal Medicine Physician
- Port Orange, FL
- NPI 1861150625
-
- Internal Medicine Physician
- Tampa, FL
- NPI 1235712415
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lake City, FL
- NPI 1992751879
-
- Urgent Care Clinic/Center
- Jacksonville, FL
- NPI 1144962408
Hospital
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1821186313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785715200000",
"number": "1285166157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 KINGSLEY AVE",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320735148",
"fax_number": "904-639-2015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13067 N TELECOM PKWY",
"city": "TEMPLE TERRACE",
"state": "FL",
"postal_code": "336370926",
"telephone_number": "813-779-6303",
"fax_number": "786-868-0012"
}
],
"practiceLocations": [
{
"address_1": "3614 Blanding Blvd",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322105241",
"country_code": "US",
"telephone_number": "904-419-7100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3416 Moncrief Rd Ste 101",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322094340",
"country_code": "US",
"telephone_number": "904-503-2404",
"fax_number": "904-423-0424",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2001 Kingsley Ave",
"address_purpose": "LOCATION",
"city": "Orange Park",
"state": "FL",
"postal_code": "320735148",
"country_code": "US",
"telephone_number": "904-639-2112",
"fax_number": "904-639-2015",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHODEINDE",
"first_name": "MICHAEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-03-30",
"last_updated": "2026-08-03",
"certification_date": "2026-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME142887",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "FL",
"license": "ME142887",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": "FL",
"license": "ME142887",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Temple Terrace, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.