Active NPI
Steven K Shama, MD
- Dermatology Physician
- Brookline, MA
National Provider Identifier
1386630226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 36103
- Practice address
- 1 Brookline PL
Suite 406
Brookline, MA 02445-7224 - Phone
- (617) 277-8332
- Fax
- (617) 277-8105
- NPI assigned
- Sep 26, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 36103 | MA | Primary |
Addresses
Primary practice location
1 Brookline PL
Suite 406
Brookline, MA 02445-7224
Mailing address
1 Brookline PL
Suite 406
Brookline, MA 02445-7224
Phone (617) 277-8332
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3017435 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36103 | MA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brookline Village Dermatology PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- Brookline, MA
- NPI 1831180660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1386630226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 BROOKLINE PL",
"address_2": "SUITE 406",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024457224",
"telephone_number": "617-277-8332",
"fax_number": "617-277-8105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BROOKLINE PL",
"address_2": "SUITE 406",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024457224",
"telephone_number": "617-277-8332",
"fax_number": "617-277-8105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAMA",
"first_name": "STEVEN",
"middle_name": "K",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-26",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MA",
"license": "36103",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3017435",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brookline, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.