Active NPI
Shannon Beck Keating, D.O.
- Hematology & Oncology Physician
- Fort Lauderdale, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- OS12795
- Practice address
- 1625 SE 3Rd Ave Ste 525
Fort Lauderdale, FL 33316-2521 - Phone
- (954) 355-4975
- Fax
- (954) 355-5898
- NPI assigned
- Mar 27, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | OS 12795 | FL | |
| Hematology & Oncology Physician | 207RH0003X | OS12795 | FL | Primary |
| Internal Medicine Physician | 207R00000X | OS 12795 | FL |
Addresses
Primary practice location
1625 SE 3Rd Ave Ste 525
Fort Lauderdale, FL 33316-2521
Mailing address
1700 NW 49TH St Ste 125
Fort Lauderdale, FL 33309-3750
Phone (954) 355-4975
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1600 S Andrews Ave
Fort Lauderdale, FL 33316-2510
1625 SE 3 Ave
Fort Lauderdale, FL 33316-2521
1625 SE 3Rd Ave
Suite 525
Ft Lauderdale, FL 33316-2521
Phone (954) 355-4975
201 E Sample Rd
Deerfield Beach, FL 33064-3502
Hospital & facility affiliations
- Broward Health Medical Center
- Broward Health North
- Broward Health Imperial Point
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS 12795 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Broward Hospital District | Current | Accepting new patients | |
| North Broward Hospital District | Current | Accepting new patients |
Locations
1600 S Andrews Ave
Ft Lauderdale, FL 33316
Phone (954) 355-4000
1625 SE 3rd Ave
Ste 525
Ft Lauderdale, FL 33316
Phone (954) 355-4975
1700 NW 49th St
Ste 125
Ft Lauderdale, FL 33309
Phone (954) 355-3490
Networks
- Freedom Health HMO Network
Interoperability endpoints
- skeating14619@direct.hfhs.org
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 and National Provider Directory roles.
-
- Neurological Surgery Physician
- Fort Lauderdale, FL
- NPI 1801581129
-
- Community/Retail Pharmacy
- Pompano Beach, FL
- NPI 1699709766
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Lauderdale, FL
- NPI 1265460232
-
- General Acute Care Hospital
- Fort Lauderdale, FL
- NPI 1285662239
-
- General Acute Care Hospital
- Pompano Beach, FL
- NPI 1376571323
-
- Emergency Care Clinic/Center
- Lighthouse Point, FL
- NPI 1720936792
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712102400000",
"number": "1447559620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 NW 49TH ST STE 125",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333093750",
"telephone_number": "954-355-4975",
"fax_number": "954-355-5898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1625 SE 3RD AVE STE 525",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333162521",
"telephone_number": "954-355-4975",
"fax_number": "954-355-5898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEATING",
"first_name": "SHANNON",
"middle_name": "BECK",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-27",
"last_updated": "2024-04-03",
"certification_date": "2024-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "FL",
"license": "OS 12795",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "FL",
"license": "OS12795",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "OS 12795",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.