Individual provider Active NPI

Michael Shodeinde

  • Family Medicine Physician
  • Temple Terrace, FL
National Provider Identifier
1285166157
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME142887 Issued in FL
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

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME142887 FL Primary
Hospitalist Physician 208M00000X ME142887 FL
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200825002525 FL Practitioner - Family Practice 2769755149 Reassigns benefits to 6 organizations
I20201002001697 GA Practitioner - Family Practice 2769755149 Reassigns benefits to 1 organization

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
Hospital Medicine Services of FL, LLCGroup PAC ID 9234596743, 513 clinicians
Sound Physicians of Florida VI LLCGroup PAC ID 1759802333, 141 clinicians

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 Hospital, Jacksonville, FL, CCN 100001
  • HCA Florida Lake City Hospital Hospital, Lake City, FL, CCN 100156

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME142887FLMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Physicians of Florida IV, LLC Single Specialty CurrentSince Jan 1, 2022 Accepting new patients
Sound Physicians of Florida VI LLC Single Specialty CurrentSince Feb 1, 2025 Accepting new patients
Hni Medical Services of Florida, LLC Single Specialty CurrentSince Apr 1, 2025 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation Single Specialty CurrentSince Jun 24, 2020 Accepting new patients
Cogent Healthcare of Jacksonville, LLC Single Specialty CurrentSince Jul 25, 2020 Accepting new patients
Sound Physicians of Florida IV, LLC CurrentSince Jan 1, 2022 Accepting new patients
Hni Hospital Services of Florida, LLC Single Specialty CurrentSince Apr 1, 2025 Accepting new patients
Cogent Healthcare of Jacksonville, LLC CurrentSince Jul 25, 2020 Accepting new patients
Hospital Medicine Services of FL, LLC Single Specialty CurrentSince Oct 2, 2025 Accepting new patients
Guidewell Sanitas I, LLC Single Specialty CurrentSince Jul 29, 2025 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.