Christine Mimi Shim, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME79337 Issued in FL

Practice address

2645 N Federal Hwy
Ste 120
Delray Beach, FL 33483-6100

Phone

(561) 740-2004

Fax

(561) 880-8260

NPI assigned

Sep 5, 2005

Last updated

Nov 29, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Family Practice

Education

University of Miami, LM Miller School of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Palm Beach Wellness LLCGroup PAC ID 7113294869, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: christine.shim.1@17595.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/17595/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Palm Beach Wellness LLC

  • Clinic/Center
  • Delray Beach, FL
  • NPI 1376086082
  Medicare reassignment Care Compare group NPD Authorized official
• Bethesda Health Outpatient Services, Inc.

  dba Bethesda Health Urgent Care

  • Urgent Care Clinic/Center
  • Wellington, FL
  • NPI 1386199974
  NPD (past)

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

{
    "created_epoch": "1125878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480377600000",
    "number": "1396739439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2645 N FEDERAL HWY",
            "address_2": "STE 120",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334836100",
            "telephone_number": "561-740-2004",
            "fax_number": "561-880-8260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2645 N FEDERAL HWY",
            "address_2": "STE 120",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334836100",
            "telephone_number": "561-740-2004",
            "fax_number": "561-880-8260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIM",
        "first_name": "CHRISTINE",
        "middle_name": "MIMI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-05",
        "last_updated": "2016-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME79337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Sherman, PHARMACIST
• Adam Eric Shestack, M.D.
• Rishi N Sheth, M.D.
• Richard Shih, MD
• Mariah Lee Shihadeh, MS, BCBA
• Shining Star Home Health Care LLC
• Janie Lynn Shirley, OTR
• Shivani Chowdhary DDS PA (BioSmiles Dental)
• Arpana Shivdasani, PAC
• William Eugene Shlifer, LCSW

• Family Medicine Physician in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.