Active NPI
Bisma Shah, PA-C
- Physician Assistant
- Plantation, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9112065
- Practice address
- 901 S State Road 7
Plantation, FL 33317-4522 - Phone
- (754) 200-8803
- NPI assigned
- Aug 7, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 1160980 | FL | |
| Physician Assistant | 363A00000X | PA9112065 | FL | Primary |
Addresses
Primary practice location
901 S State Road 7
Plantation, FL 33317-4522
Mailing address
20046 NW 66TH PL
Hialeah, FL 33015-2139
Phone (305) 336-0447
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16040 Pines Blvd
Pembroke Pines, FL 33027-1171
Phone (954) 301-4988
1770 NE Miami Gardens Dr
N Miami Beach, FL 33179-5301
Phone (305) 949-4141
1780 Stirling Rd
Suite 105
Dania Beach, FL 33004-3113
Phone (954) 231-3811
2502 N State Rd
Suite 7
Hollywood, FL 33021-3205
Phone (954) 894-7955
410 E Altamonte Dr
Suite 1020
Altamonte Springs, FL 32701-4657
Phone (615) 373-7600
415 E Hallandale Beach Blvd
Hallandale Beach, FL 33009-5528
Phone (954) 457-4333
4570 Lantana Rd
Lake Worth, FL 33463-6908
Phone (561) 963-9881
9650 Pines Blvd
Pembroke Pines, FL 33024-6241
Phone (954) 885-9009
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9112065 | FL | MD | Physician Assistant |
| 1160980 | FL | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MD Now Medical Centers Inc | Current | Accepting new patients | |
| Orlando Carenow Urgent Care LLC | Current | Accepting new patients | |
| Heathrow Internal Medicine LLC | Past | Accepting new patients |
Locations
410 E Altamonte Dr
Ste 1020
Altamonte Springs, FL 32701
Phone (321) 364-0011
628 Cagan View Rd
Clermont, FL 34714
Phone (352) 242-1988
4570 Lantana Rd
Lake Worth, FL 33463
Phone (305) 949-4141
1770 NE Miami Gardens Dr
North Miami Beach, FL 33179
Phone (305) 949-4141
901 S State Road 7
Plantation, FL 33317
Phone (754) 200-8803
5102 Sr 46
Sanford, FL 32771
Phone (321) 765-6152
5817 N University Dr
Tamarac, FL 33321
Phone (954) 720-1111
2007 Palm Beach Lakes Blvd
West Palm Beach, FL 33409
Organizations & group practices 4
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.
-
- Urgent Care Clinic/Center
- West Palm Beach, FL
- NPI 1033195474
-
- Urgent Care Clinic/Center
- Winter Springs, FL
- NPI 1205389905
-
- Internal Medicine Physician
- Ft Myers, FL
- NPI 1154304087
-
- Family Medicine Physician
- Lake Mary, FL
- NPI 1033387865
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734739200000",
"number": "1487209342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20046 NW 66TH PL",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330152139",
"telephone_number": "305-336-0447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 S STATE ROAD 7",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333174522",
"telephone_number": "754-200-8803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "BISMA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-07",
"last_updated": "2024-12-21",
"certification_date": "2024-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "1160980",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9112065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plantation, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.