Individual provider Active NPI

Timothy D. Shafman, MD

  • Radiation Oncology Physician
  • Sarasota, FL
National Provider Identifier
1366424533
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
ME125691 Issued in FL
Practice address
3210 Fruitville Rd
Sarasota, FL 34237-6411
Phone
(941) 364-8887
NPI assigned
Nov 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X MD11456 RI
Radiation Oncology Physician 2085R0001X ME125691 FL Primary
Radiation Oncology Physician 2085R0001X 79255 MA

Addresses

Primary practice location

3210 Fruitville Rd
Sarasota, FL 34237-6411

Mailing address

2234 Colonial Blvd
Fort Myers, FL 33907-1412
Phone (239) 931-7342

Other practice location 1

720 Doctors Dr
Englewood, FL 34223-3992
Phone (941) 475-7128

Other identifiers 30

IdentifierTypeStateIssuer
822225OtherRIUSA MNGD. CR. PROV. #
AA15549OtherRIHARV. PILG. PROVIDER #
008002447MedicaidCT
P01798845OtherFLCLEAR HEALTH ALLIANCE
P994555OtherFLFREEDOM
010011456RI01OtherCTANTHEM BCBS CT PROV. #
412134OtherRIBCBS RI - BLUECHIP PROV #
015965200MedicaidFL
29025-8OtherRIBCBS OF RI PROVIDER #
5524206OtherRIAETNA REF/CERT #
J30652OtherMABCBS OF MASS PROVIDER #
P01107077OtherMARAILROAD MCR
3133087MedicaidMA
98985603OtherMANETWORK HEALTH
P00762779OtherRIRAILROAD MEDICARE - RADIOSURGERY CENTER OF RI
30348OtherRINEIGHBR. HLTH PL. PROV. #
3701804OtherRIAETNA PROVIDER NUMBER
387766OtherFLAVMED
42700OtherRIHEALTH NEW ENGLAND
7057190MedicaidRI
P00693330OtherRIRAIL ROAD MEDICARE
P01580612OtherFLRR MEDICARE
1493289OtherFLCIGNA
1493289OtherRICIGNA PROVIDER NUMBER
3133087OtherMAMASS HEALTH PROVIDER #
5524206OtherFLAETNA
ZS4X3OtherFLBCBS
079255OtherRITUFTS HLTH PLN. PROV. #
P00762754OtherMARAILROAD MEDICARE - CMCCC
P971651OtherFLOPTIMUM

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20151215001180 FL Practitioner - Radiation Oncology 9931150836 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Harvard Medical School, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Genesiscare USA of Florida LLCGroup PAC ID 9830082882, 172 clinicians

Practice addresses (Care Compare)

3210 Fruitville Rd
Sarasota, FL 34237-6411
Phone (941) 364-8887

Hospital & facility affiliations

  • Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087
  • Sarasota Memorial Hospital - Venice Hospital, North Venice, FL, CCN 100359

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Genesiscare USA of Florida LLC CurrentSince Aug 26, 2024 Accepting new patients
Genesiscare USA of Florida LLC Past Accepting new patients
Massachusetts Oncology Services, PC Past Accepting new patients
Genesiscare USA of North Carolina, PA PastSince Mar 22, 2019 Accepting new patients

Locations

1419 SE 8th Ter
Ste 200
Cape Coral, FL 33990

2234 Colonial Blvd
Fort Myers, FL 33907
Phone (239) 931-7212

901 Tamiami Trl S
Venice, FL 34285
Phone (941) 484-3531

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 5

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 2

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": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768521600000",
    "number": "1366424533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2234 COLONIAL BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071412",
            "telephone_number": "239-931-7342",
            "fax_number": "239-931-7385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 FRUITVILLE RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342376411",
            "telephone_number": "941-364-8887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "720 Doctors Dr",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "FL",
            "postal_code": "342233992",
            "country_code": "US",
            "telephone_number": "941-475-7128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAFMAN",
        "first_name": "TIMOTHY",
        "middle_name": "D.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "RI",
            "license": "MD11456",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "FL",
            "license": "ME125691",
            "primary": true
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MA",
            "license": "79255",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USA MNGD. CR. PROV. #",
            "identifier": "822225",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARV. PILG. PROVIDER #",
            "identifier": "AA15549",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008002447",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLEAR HEALTH ALLIANCE",
            "identifier": "P01798845",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FREEDOM",
            "identifier": "P994555",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS CT PROV. #",
            "identifier": "010011456RI01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS RI - BLUECHIP PROV #",
            "identifier": "412134",
            "state": "RI"
        },
        {
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            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015965200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF RI PROVIDER #",
            "identifier": "29025-8",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA REF/CERT #",
            "identifier": "5524206",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MASS PROVIDER #",
            "identifier": "J30652",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MCR",
            "identifier": "P01107077",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3133087",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NETWORK HEALTH",
            "identifier": "98985603",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE - RADIOSURGERY CENTER OF RI",
            "identifier": "P00762779",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBR. HLTH PL. PROV. #",
            "identifier": "30348",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "3701804",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "387766",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NEW ENGLAND",
            "identifier": "42700",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7057190",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00693330",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01580612",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1493289",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER NUMBER",
            "identifier": "1493289",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASS HEALTH PROVIDER #",
            "identifier": "3133087",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5524206",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "ZS4X3",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HLTH PLN. PROV. #",
            "identifier": "079255",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE - CMCCC",
            "identifier": "P00762754",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMUM",
            "identifier": "P971651",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.