Individual provider Active NPI

Joshua Shaw, M.D.

  • Surgery Physician
  • Coral Springs, FL
National Provider Identifier
1568699205
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
247290 Issued in MA
Practice address
3001 Coral Hills Dr Ste 320
Coral Springs, FL 33065-4172
Phone
(954) 755-0111
Fax
(954) 755-0243
NPI assigned
Jun 21, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 247290 MA Primary
Surgery Physician 208600000X ME136232 FL
Surgical Oncology Physician 2086X0206X ME136232 FL

Addresses

Primary practice location

3001 Coral Hills Dr Ste 320
Coral Springs, FL 33065-4172

Mailing address

3001 Coral Hills Dr Ste 320
Coral Springs, FL 33065-4172
Phone (954) 755-0111

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
I20180904000274 FL Practitioner - General Surgery 4183923527 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Massachusetts Medical School, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Florida Surgical Specialists LLCGroup PAC ID 5799881660, 91 clinicians

Practice addresses (Care Compare)

3001 Coral Hills Dr
Suite 320
Coral Springs, FL 33065-4172
Phone (561) 939-0455

Hospital & facility affiliations

  • University Hospital and Medical Center Hospital, Tamarac, FL, CCN 100224
  • HCA Florida Northwest Hospital Hospital, Margate, FL, CCN 100189
  • Westside Regional Medical Center Hospital, Plantation, FL, CCN 100228

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
88.97
Promoting interoperability
98.2
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
247290MAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Holy Cross Hospital Inc CurrentSince Jul 9, 2024 Accepting new patients
South Florida Surgical Specialists LLC Surgery CurrentSince May 1, 2022 Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
Holy Cross Hospital, Inc CurrentSince Jul 9, 2024 Accepting new patients

Locations

3001 Coral Hills Dr
Ste 320
Coral Springs, FL 33065
Phone (954) 755-0111

1600 S Andrews Ave
Ft Lauderdale, FL 33316
Phone (954) 355-4000

1309 S Federal Hwy
#G
Ft Lauderdale, FL 33316
Phone (954) 463-4383

1625 SE 3rd Ave
Ste 721
Ft Lauderdale, FL 33316
Phone (954) 355-4617

4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005

3000 Coral Hills Dr
Pompano Beach, FL 33065
Phone (954) 344-3000

Interoperability endpoints

  • Direct secure messaging: jshaw1238762@direct.ccf.org

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.

Hospital & facility affiliations 3

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": "1245542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1568699205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 CORAL HILLS DR STE 320",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654172",
            "telephone_number": "954-755-0111",
            "fax_number": "954-755-0243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 CORAL HILLS DR STE 320",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654172",
            "telephone_number": "954-755-0111",
            "fax_number": "954-755-0243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "JOSHUA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-21",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MA",
            "license": "247290",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME136232",
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "FL",
            "license": "ME136232",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.