Shahab Shaffiey, MD

Primary specialty

Pediatric Surgery PhysicianTaxonomy code 2086S0120X

License

ME141917 Issued in FL

Practice address

3200 SW 60TH CT Ste 201
Miami, FL 33155-4070

Phone

(305) 662-8224

NPI assigned

Oct 9, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Specialty

General SurgeryAlso: Pediatric Medicine, Thoracic Surgery

Education

University of Missouri, Kansas City, School of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Miami Associates in Pediatric Surgery PAGroup PAC ID 6103844303, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shahab.shaffiey.1@240.direct.athenahealth.com
• FHIR API: https://fhir-myrecord.cerner.com/r4/9d02172d-d861-4f2f-87b5-3b1c5ad61f32/

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.

• Miami Associates in Pediatric Surgery PA

  • General Practice Physician
  • Miami, FL
  • NPI 1558425090
  Medicare reassignment Care Compare group NPD
• Nicklaus Children'S Pediatric Specialists, LLC

  • Pediatric Emergency Medicine (Pediatrics) Physician
  • Miami, FL
  • NPI 1588063176
  NPD (past)

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

{
    "created_epoch": "1255046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564704000000",
    "number": "1295060119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 SW 60TH CT STE 201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331554070",
            "telephone_number": "305-662-8224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 SW 60TH CT STE 201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331554070",
            "telephone_number": "305-662-8224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1420 Centre Ave",
            "address_2": "Apt 400",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152193537",
            "country_code": "US",
            "telephone_number": "412-897-5757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAFFIEY",
        "first_name": "SHAHAB",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-09",
        "last_updated": "2019-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MT195624",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "FL",
            "license": "ME141917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA MEDICAL BOARD LICENSE",
            "identifier": "ME141917",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL TRAINING NUMBER",
            "identifier": "MT195624",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Shafarenko, MD FRCSC
• Shirin Shafazand, MD
• Emily Michelle Shaffer, DO
• Michelle Shaffer
• Thitiporn Lertratanakul Shaffer, ARNP
• Larisa Shagabayeva, MD
• Shagalov Dermatology PA
• Devorah R Shagalov, MD
• Amar Shah, MD
• Ashish Harish Shah, MD

• Pediatric Surgery Physician in Miami, FL
• Providers in Miami, FL by specialty
• Pediatric Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2019; 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.

Verify at the official NPI Registry.