Individual provider Active NPI

Sean Dien Shanahan, DPM

  • Foot & Ankle Surgery Podiatrist
  • Bradenton, FL
National Provider Identifier
1487642617
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO3134 Issued in FL
Practice address
300 Riverside Dr E Ste 2000
Bradenton, FL 34208-1023
Phone
(941) 666-5088
Fax
(239) 209-9686
NPI assigned
Oct 11, 2005
Last updated
May 18, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO3134 FL Primary

Addresses

Primary practice location

300 Riverside Dr E Ste 2000
Bradenton, FL 34208-1023

Mailing address

300 Riverside Dr E Ste 2000
Bradenton, FL 34208-1023
Phone (941) 666-5088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040717000043 FL Practitioner - Podiatry 4183603616 Reassigns benefits to 2 organizations
I20241107002253 TX Practitioner - Podiatry 4183603616 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Port Podiatry Center PAGroup PAC ID 1052374543, 3 clinicians

Practice addresses (Care Compare)

14580 Tamiami TRL
Unit H
North Port, FL 34287-2708
Phone (941) 429-1702

300 Riverside Dr E
Bradenton, FL 34208-1023
Phone (941) 666-5088

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.36 of 100Reported as group
Quality
87.45
Improvement activities
0
Cost
93.44

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue22
Removal of skin lesions1-10
Removal of nail tissue221
Removal or shaving of skin growth68
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
North Port Podiatry Center PA Foot & Ankle Surgery CurrentSince Jun 1, 2024 Accepting new patients
Zuni Indian Hospital CurrentSince Oct 21, 2024 Accepting new patients
The Podiatry Clinic, PA Foot & Ankle Surgery CurrentSince Jul 7, 2025 Accepting new patients
North Port Podiatry Center PA Foot & Ankle Surgery PastSince Jun 1, 2024 Accepting new patients
William T Trabulsi DPM PA Foot & Ankle Surgery Past Accepting new patients

Locations

300 Riverside Dr E
Ste 2000
Bradenton, FL 34208
Phone (941) 666-5088

14580 Tamiami Trl
Unit H
North Port, FL 34287
Phone (941) 429-1702

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1487642617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 RIVERSIDE DR E STE 2000",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081023",
            "telephone_number": "941-666-5088",
            "fax_number": "239-230-9686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 RIVERSIDE DR E STE 2000",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081023",
            "telephone_number": "941-666-5088",
            "fax_number": "239-209-9686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANAHAN",
        "first_name": "SEAN",
        "middle_name": "DIEN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.