Individual provider Active NPI

Irene Shir, PA

  • Medical Physician Assistant
  • Boca Raton, FL
National Provider Identifier
1295836146
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9114690 Issued in FL
Practice address
2900 N Military TRL Ste 107
Boca Raton, FL 33431-6347
Phone
(917) 747-9595
NPI assigned
Sep 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 010161 NY
Medical Physician Assistant 363AM0700X PA9114690 FL Primary

Addresses

Primary practice location

2900 N Military TRL Ste 107
Boca Raton, FL 33431-6347

Mailing address

425 Neptune Ave Apt 1B
Brooklyn, NY 11224-4540
Phone (917) 747-9595

Other practice location 1

704 Brighton Beach Ave
Brooklyn, NY 11235-6412
Phone (718) 571-9291

Other identifiers 1

IdentifierTypeStateIssuer
00246075MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041203000773 NY Practitioner - Physician Assistant 4587620240 Reassigns benefits to 3 organizations
I20240214003612 FL Practitioner - Physician Assistant 4587620240 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City Medical of Upper East Side PLLCGroup PAC ID 0648465039, 658 clinicians
Freedomcare Physician Practice PCGroup PAC ID 3870970973, 2 clinicians
Bright Care Family Medicine CorpGroup PAC ID 9436526696, 3 clinicians

Practice addresses (Care Compare)

1305 Kings Hwy
Brooklyn, NY 11229-1903
Phone (718) 280-5172

245 5TH Ave
Suite 306
New York, NY 10016-8728
Phone (646) 224-7300

2500 E Hallandale Beach Blvd
Suite 505
Hallandale Beach, FL 33009-4838
Phone (786) 733-1066

336 E 86TH St
New York, NY 10028-4615
Phone (212) 772-3627

356 Veterans Memorial Hwy
Commack, NY 11725-4343
Phone (646) 224-7300

704 Brighton Beach Ave
Brooklyn, NY 11235-6412
Phone (718) 571-9291

Merit-based Incentive Payment System (MIPS)

Final score
86.33 of 100Reported as group
Quality
82.1
Promoting interoperability
100
Improvement activities
40
Cost
72.34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9114690FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
City Medical of Upper East Side, PLLC CurrentSince Nov 20, 2017 Accepting new patients
Bright Care Family Medicine Corp CurrentSince Jan 10, 2026 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Nov 20, 2017 Accepting new patients
Summit Medical Group PA Past Accepting new patients
LH Emergency Medical Services PC Past Accepting new patients
Alexander Merson, M.D., PLLC Past Accepting new patients

Locations

2500 E Hallandale Beach Blvd
Ste 505
Hallandale Beach, FL 33009
Phone (305) 909-6325

3111 Steinway St
Astoria, NY 11103
Phone (718) 475-2345

704 Brighton Beach Ave
Brooklyn, NY 11235
Phone (718) 571-9291

336 E 86th St
New York, NY 10028
Phone (212) 772-3627

Interoperability endpoints

  • Direct secure messaging: irene.shir.1@2983.direct.athenahealth.com
  • Direct secure messaging: irene.shir.1@25577.direct.athenahealth.com

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1295836146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 NEPTUNE AVE APT 1B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112244540",
            "telephone_number": "917-747-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 N MILITARY TRL STE 107",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316347",
            "telephone_number": "917-747-9595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "704 Brighton Beach Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112356412",
            "country_code": "US",
            "telephone_number": "718-571-9291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIR",
        "first_name": "IRENE",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "010161",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9114690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00246075",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.