Individual provider Active NPI

David Shenassa, M.D.

  • Surgery of the Hand (Surgery) Physician
  • Plantation, FL
National Provider Identifier
1417108895
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Surgery) PhysicianTaxonomy code 2086S0105X
License
ME105233 Issued in FL
Practice address
220 SW 84TH Ave Ste 102
Plantation, FL 33324-2729
Phone
(954) 720-1530
Fax
(954) 720-6540
NPI assigned
Oct 3, 2008
Last updated
Sep 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X ME105233 FL
Surgery of the Hand (Surgery) Physician 2086S0105X ME105233 FL Primary

Addresses

Primary practice location

220 SW 84TH Ave Ste 102
Plantation, FL 33324-2729

Mailing address

220 SW 84TH Ave Ste 102
Plantation, FL 33324-2729
Phone (954) 349-2345

Other practice location 1

1600 Town Center Blvd Ste C
Weston, FL 33326-3641
Phone (954) 389-5900

Other identifiers 2

IdentifierTypeStateIssuer
002462700MedicaidFL
002876700OtherFLGROUP MEDICAID

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
I20100618000598 FL Practitioner - Hand Surgery 2860555117 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hand Surgery
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sports Medicine Associates of South Florida PAGroup PAC ID 2264418490, 7 clinicians

Practice addresses (Care Compare)

1600 Town Ctr Blvd
Suite C
Weston, FL 33326-3641
Phone (954) 389-5751

220 SW 84TH Ave
Suite 102
Plantation, FL 33324-2729
Phone (954) 720-1530

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)22
Melanoma (skin cancer) excision1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME105233FLMDOrthopaedic Hand Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sports Medicine Associates of South Florida, P.a. Hand Surgery CurrentSince Jan 3, 2010 Accepting new patients
Foot Ankle & Leg Specialists of South Florida Inc PastSince Apr 15, 2021 Accepting new patients

Locations

220 SW 84th Ave
Ste 102
Plantation, FL 33324
Phone (954) 720-1530

1600 Town Center Blvd
Ste C
Weston, FL 33326
Phone (954) 389-5751

Interoperability endpoints

  • Direct secure messaging: davidshenassa@smasfpa.allscriptsdirect.net

Organizations & group practices 2

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.

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": "1222992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1417108895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 SW 84TH AVE STE 102",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242729",
            "telephone_number": "954-349-2345",
            "fax_number": "954-641-1086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 SW 84TH AVE STE 102",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242729",
            "telephone_number": "954-720-1530",
            "fax_number": "954-720-6540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Town Center Blvd Ste C",
            "address_purpose": "LOCATION",
            "city": "Weston",
            "state": "FL",
            "postal_code": "333263641",
            "country_code": "US",
            "telephone_number": "954-389-5900",
            "fax_number": "954-389-5751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHENASSA",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-03",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "FL",
            "license": "ME105233",
            "primary": false
        },
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "FL",
            "license": "ME105233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002462700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICAID",
            "identifier": "002876700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.