Individual provider Active NPI

Adam Michael Shuster, DO

  • Pain Medicine (Anesthesiology) Physician
  • Fort Myers, FL
National Provider Identifier
1417167784
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
OS10812 Issued in FL
Practice address
7964 Summerlin Lakes Dr
Fort Myers, FL 33907-1816
Phone
(239) 333-1177
Fax
(239) 333-1169
NPI assigned
May 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 5101015925 MI
Pain Medicine (Anesthesiology) Physician 207LP2900X OS10812 FL Primary

Addresses

Primary practice location

7964 Summerlin Lakes Dr
Fort Myers, FL 33907-1816

Mailing address

23 Barkley Cir
Fort Myers, FL 33907-7531
Phone (239) 333-1177

Other practice location 1

1031 SE 9th Pl Unit 5
Cape Coral, FL 33990-3003
Phone (239) 333-1177 ext. 3216

Other practice location 2

9400 Bonita Beach Rd SE Ste 101
Bonita Springs, FL 34135-4520
Phone (239) 333-1177 ext. 3216

Other identifiers 1

IdentifierTypeStateIssuer
146VAOtherFLBLUE CROSS BLUE SHIELD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ashuster@nspc.emadirect.md

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
I20100108000214 FL Practitioner - Pain ManagementPractitioner - Anesthesiology 9436213337 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Michigan State University College of Osteopathic Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1031 SE 9TH Place
5 Cape Coral
Cape Coral, FL 33990-3003
Phone (239) 333-1177

150 SW Chamber CT
Suite 105
Port St Lucie, FL 34986-3413
Phone (772) 807-9000

1693 Lee Rd
Suite B
Winter Park, FL 32789-2260
Phone (407) 622-5766

2721 Del Prado Blvd S
Suite 200
Cape Coral, FL 33904-5783
Phone (239) 333-1177

5365 W Atlantic Ave
Suite 504
Delray Beach, FL 33484-8194
Phone (561) 241-9300

5948 Turkey Lake Rd
Orlando, FL 32819-4202
Phone (407) 228-8080

7964 Summerlin Lakes Dr
Fort Myers, FL 33907-1816
Phone (239) 333-1177

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.19 of 100Reported as group
Promoting interoperability
92
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS10812FLMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Pain and Rehabilitation Associates Inc CurrentSince Sep 2, 2020 Accepting new patients
Florida Pain and Rehabilitation Associates Inc CurrentSince Sep 2, 2020 Accepting new patients
Pain Management Consultants of Southwest Florida, PL Pain Medicine CurrentSince Jan 1, 2010 Accepting new patients
Pain Management Consultants of Southwest Florida, PL Current Accepting new patients
Physicians Surgery Center LLC Past Accepting new patients
Florida Pain and Rehabilitation Institute Inc Past Accepting new patients

Locations

9400 Bonita Beach Rd SE
Ste 101
Bonita Springs, FL 34135
Phone (239) 333-1177

2721 Del Prado Blvd S
Ste 200
Cape Coral, FL 33904
Phone (239) 458-6677

1031 SE 9th Pl
Unit 5
Cape Coral, FL 33990
Phone (239) 333-1177

7964 Summerlin Lakes Dr
Fort Myers, FL 33907
Phone (239) 333-1177

23 Barkley Cir
Fort Myers, FL 33907
Phone (239) 333-1177

4035 Evans Ave
Fort Myers, FL 33901
Phone (941) 939-4937

150 SW Chamber Ct
Ste 105
Port St Lucie, FL 34986
Phone (772) 807-9000

13945 N US Highway 441
The Villages, FL 32159
Phone (352) 277-3500

1693 Lee Rd
Ste B
Winter Park, FL 32789
Phone (407) 622-5766

11350 McCormick Rd
Ste 501
Hunt Valley, MD 21031
Phone (410) 329-1071

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: ashuster@nspc.emadirect.md

Organizations & group practices 7

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": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1417167784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 BARKLEY CIR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339077531",
            "telephone_number": "239-333-1177",
            "fax_number": "239-333-1169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7964 SUMMERLIN LAKES DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071816",
            "telephone_number": "239-333-1177",
            "fax_number": "239-333-1169"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1031 SE 9th Pl Unit 5",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339903003",
            "country_code": "US",
            "telephone_number": "239-333-1177 x3216",
            "fax_number": "239-333-1169",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9400 Bonita Beach Rd SE Ste 101",
            "address_purpose": "LOCATION",
            "city": "Bonita Springs",
            "state": "FL",
            "postal_code": "341354520",
            "country_code": "US",
            "telephone_number": "239-333-1177 x3216",
            "fax_number": "239-333-1169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHUSTER",
        "first_name": "ADAM",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "5101015925",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "OS10812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "146VA",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ashuster@nspc.emadirect.md",
            "affiliation": "N",
            "address_1": "9400 Bonita Beach Rd SE Ste 101",
            "city": "Bonita Springs",
            "state": "FL",
            "country_code": "US",
            "postal_code": "341354520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.