Individual provider Active NPI

Shelley Kamalpreet Uppal

  • Dermatology Physician
  • Ft Lauderdale, FL
National Provider Identifier
1295354215
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME162436 Issued in FL
Practice address
2320 NE 62ND St
Ft Lauderdale, FL 33308-2208
Phone
(954) 500-3376
Fax
(954) 908-7099
NPI assigned
Apr 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME162436 FL Primary

Addresses

Primary practice location

2320 NE 62ND St
Ft Lauderdale, FL 33308-2208

Mailing address

2320 NE 62ND St
Ft Lauderdale, FL 33308-2208
Phone (954) 500-3376

Other practice location 1

1111 Lincoln Rd Ste 375
Miami Beach, FL 33139-2407
Phone (786) 949-7440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1586390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1295354215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 NE 62ND ST",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333082208",
            "telephone_number": "954-500-3376",
            "fax_number": "954-908-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 NE 62ND ST",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333082208",
            "telephone_number": "954-500-3376",
            "fax_number": "954-908-7099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 Lincoln Rd Ste 375",
            "address_purpose": "LOCATION",
            "city": "Miami Beach",
            "state": "FL",
            "postal_code": "331392407",
            "country_code": "US",
            "telephone_number": "786-949-7440",
            "fax_number": "786-745-1190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UPPAL",
        "first_name": "SHELLEY",
        "middle_name": "KAMALPREET",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-09",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME162436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.