Individual provider Active NPI

Amir Shariati, MD

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Coconut Creek, FL
National Provider Identifier
1386842136
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X
License
ME106332 Issued in FL
Practice address
5300 W Hillsboro Blvd
Suite 207
Coconut Creek, FL 33073-4395
Phone
(561) 479-7030
Fax
(561) 483-4489
NPI assigned
Jul 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 106332 FL
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X ME106332 FL Primary

Addresses

Primary practice location

5300 W Hillsboro Blvd
Suite 207
Coconut Creek, FL 33073-4395

Mailing address

5300 W Hillsboro Blvd
Suite 207
Coconut Creek, FL 33073-4395
Phone (561) 479-7030

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address AMIR.SHARIATI@hca4.eclinicaldirectplus.com

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
I20110526000660 FL Practitioner - Obstetrics/Gynecology 7416041462 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Medical College of Georgia School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Institute for Women'S Health and Body LLCGroup PAC ID 2264752443, 49 clinicians

Practice addresses (Care Compare)

2801 N St Rd
Suite 7
Margate, FL 33063-5727
Phone (954) 974-0400

3000 Coral Hills Dr
Coral Springs, FL 33065-4108
Phone (954) 344-3000

5300 W Hillsboro Blvd
Suite 207
Coconut Creek, FL 33073-4397
Phone (954) 570-7644

560 Village Boulevard W
Suite 315
West Palm Beach, FL 33409-1967
Phone (561) 616-9988

800 Meadows Rd
Boca Raton, FL 33486-2304
Phone (561) 955-7100

Hospital & facility affiliations

  • HCA Florida Northwest Hospital Hospital, Margate, FL, CCN 100189
  • Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168
  • Broward Health Coral Springs Hospital, Coral Springs, FL, CCN 100276

Merit-based Incentive Payment System (MIPS)

Final score
85.94 of 100Reported as group
Quality
80
Promoting interoperability
99
Improvement activities
40
Cost
73.96

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus32

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME106332FLMDFemale Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician
106332FLMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Institute for Women'S Health and Body, LLC CurrentSince May 13, 2018 Accepting new patients
First Assistant Services, LLC Past Accepting new patients
Major Hospital Past Accepting new patients
Seth J Herbst MD PA PastSince May 15, 1997 Accepting new patients

Locations

5300 W Hillsboro Blvd
Ste 207
Coconut Creek, FL 33073
Phone (561) 479-7030

1395 S State Road 7
Ste 450
Wellington, FL 33414
Phone (561) 798-1233

560 Village Blvd
Ste 315
West Palm Beach, FL 33409
Phone (561) 616-9988

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: amir.shariati@hca4.eclinicaldirectplus.com

Organizations & group practices 4

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 3

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": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1386842136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 W HILLSBORO BLVD",
            "address_2": "SUITE 207",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734395",
            "telephone_number": "561-479-7030",
            "fax_number": "561-483-4489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 W HILLSBORO BLVD",
            "address_2": "SUITE 207",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734395",
            "telephone_number": "561-479-7030",
            "fax_number": "561-483-4489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARIATI",
        "first_name": "AMIR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-03",
        "last_updated": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "FL",
            "license": "106332",
            "primary": false
        },
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "FL",
            "license": "ME106332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "AMIR.SHARIATI@hca4.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "5300 W Hillsboro Blvd",
            "address_2": "SUITE 207",
            "city": "Coconut Creek",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330734395",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Coconut Creek, FL

Sources for this page

Verify at the official NPI Registry.