Individual provider Active NPI

Shahjahan Shareef, DO

  • MOHS-Micrographic Surgery Physician
  • Sarasota, FL
National Provider Identifier
1386184091
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
OS15795 Issued in FL
Practice address
5741 Bee Ridge Rd
Sarasota, FL 34233-5064
Phone
(941) 203-8757
Fax
(941) 552-8647
NPI assigned
Feb 28, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X OS15795 FL Primary
Dermatology Physician 207N00000X OS15795 FL

Addresses

Primary practice location

5741 Bee Ridge Rd
Sarasota, FL 34233-5064

Mailing address

5741 Bee Ridge Rd Ste 570
Sarasota, FL 34233-5080
Phone (941) 203-8757

Other practice location 1

13770 Plantation Rd # 103
Fort Myers, FL 33912-4460
Phone (941) 444-0011

Other identifiers 1

IdentifierTypeStateIssuer
105673300MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sshareef@dmp.emadirect.md Direct

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
I20191218000226 FL Practitioner - Dermatology 8426482936 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Onspot-FLGroup PAC ID 3678984937, 43 clinicians

Practice addresses (Care Compare)

1131 S Orange Ave
Orlando, FL 32806-1226
Phone (941) 444-0011

16461 Domestic Ave
Fort Myers, FL 33912-6008
Phone (877) 266-7768

5741 Bee Ridge Rd
Suite 570
Sarasota, FL 34233-5080
Phone (941) 203-8757

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision18
Removal of skin lesions1177
Removal of skin cancer120
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy215

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS15795FLMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Onspot-FL Dermatology CurrentSince Jul 1, 2023 Accepting new patients
Island Dermatology, Inc Dermatology PastSince Oct 7, 2018 Accepting new patients

Locations

16461 Domestic Ave
Fort Myers, FL 33912
Phone (772) 667-7688

1131 S Orange Ave
Orlando, FL 32806
Phone (407) 237-6333

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: sshareef@dmp.emadirect.md

Organizations & group practices 3

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 1

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": "1488240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1386184091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5741 BEE RIDGE RD STE 570",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342335080",
            "telephone_number": "941-203-8757",
            "fax_number": "941-552-8647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5741 BEE RIDGE RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342335064",
            "telephone_number": "941-203-8757",
            "fax_number": "941-552-8647"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13770 Plantation Rd # 103",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339124460",
            "country_code": "US",
            "telephone_number": "941-444-0011",
            "fax_number": "603-952-3900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAREEF",
        "first_name": "SHAHJAHAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-28",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "OS15795",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "OS15795",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105673300",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sshareef@dmp.emadirect.md",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4197 Woodlands Pkwy",
            "city": "Palm Harbor",
            "state": "FL",
            "country_code": "US",
            "postal_code": "346853493",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.