Individual provider Active NPI

Bisma Shah, PA-C

  • Physician Assistant
  • Plantation, FL
National Provider Identifier
1487209342
Registry record updated Dec 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9112065 Issued in FL
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

Updated by the provider on Dec 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191007002325 FL Practitioner - Physician Assistant 9537490404 Reassigns benefits to 3 organizations

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
MD Now Medical Centers IncGroup PAC ID 3971554825, 314 clinicians
Orlando Carenow Urgent Care LLCGroup PAC ID 1759666050, 57 clinicians

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

LicenseStateTypeSpecialty
PA9112065FLMDPhysician Assistant
1160980FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
MD Now Medical Centers Inc CurrentSince Feb 18, 2020 Accepting new patients
Orlando Carenow Urgent Care LLC CurrentSince Jan 9, 2026 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.

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

Verify at the official NPI Registry.