Individual provider Active NPI

Sholem Michael Palevsky, DO

  • Family Medicine Physician
  • Pompano Beach, FL
National Provider Identifier
1477063618
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS14910 Issued in FL
Practice address
1800 N Federal Hwy Ste 104
Pompano Beach, FL 33062-1011
Phone
(954) 782-0010
Fax
(954) 781-2139
NPI assigned
Oct 2, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS14910 FL Primary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X OS14910 FL

Addresses

Primary practice location

1800 N Federal Hwy Ste 104
Pompano Beach, FL 33062-1011

Mailing address

1800 N Federal Hwy Ste 104
Pompano Beach, FL 33062-1011
Phone (954) 782-0010

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
I20180611001947 FL Practitioner - Family Practice 7416202791 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Florida Jacksonville Physicians Inc Family Medicine CurrentSince Apr 27, 2018 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Apr 27, 2018 Accepting new patients
University of Florida Jacksonville Physicians, Inc. Family Medicine CurrentSince Apr 27, 2018 Accepting new patients
University of Florida Jacksonville Physicians Inc Current Accepting new patients
Mycare Medical of Texas, PLLC Family Medicine PastSince Mar 12, 2024 Accepting new patients

Locations

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

1255 Lila St
Jacksonville, FL 32208
Phone (904) 244-5700

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1477063618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 N FEDERAL HWY STE 104",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330621011",
            "telephone_number": "954-782-0010",
            "fax_number": "954-781-2139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 N FEDERAL HWY STE 104",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330621011",
            "telephone_number": "954-782-0010",
            "fax_number": "954-781-2139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALEVSKY",
        "first_name": "SHOLEM",
        "middle_name": "MICHAEL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-02",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS14910",
            "primary": true
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "FL",
            "license": "OS14910",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

Verify at the official NPI Registry.