Shahnaz Fatteh, MD

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

ME63504 Issued in FL

Practice address

817 S University Dr
Suite 106
Plantation, FL 33324-3309

Phone

(954) 723-0334

Fax

(954) 723-0807

NPI assigned

Mar 8, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Allergy/ImmunologyAlso: Internal Medicine

Education

Medical College of Georgia School of Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Regional Hospital Hospital, Hollywood, FL, CCN 100038
• Memorial Hospital West Hospital, Pembroke Pines, FL, CCN 100281

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

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.

• American Medicine, Inc.

  dba Asthma, Allergy Care Center of Florida

  • Allergy & Immunology Physician
  • Plantation, FL
  • NPI 1437349339
  Medicare reassignment NPD Authorized official
• Nova Southeastern University, Inc

  • Optometrist
  • Fort Lauderdale, FL
  • NPI 1700924511
  Medicare reassignment NPD
• Nova Southeastern University Inc.

  • Clinical Medical Laboratory
  • Fort Lauderdale, FL
  • NPI 1770533390
  NPD
• Nova Southeastern University, Inc

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Fort Lauderdale, FL
  • NPI 1659527042
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• South Broward Hospital District

  dba Memorial Hospital West

  • General Acute Care Hospital
  • Pembroke Pines, FL
  • NPI 1134102080
  Care Compare affiliation
• South Broward Hospital District

  dba Memorial Regional Hospital

  • General Acute Care Hospital
  • Hollywood, FL
  • NPI 1780667923
  Care Compare affiliation

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475107200000",
    "number": "1588632533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 S UNIVERSITY DR",
            "address_2": "SUITE 106",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243309",
            "telephone_number": "954-723-0334",
            "fax_number": "954-723-0807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 S UNIVERSITY DR",
            "address_2": "SUITE 106",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243309",
            "telephone_number": "954-723-0334",
            "fax_number": "954-723-0807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATTEH",
        "first_name": "SHAHNAZ",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2016-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "FL",
            "license": "ME63504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "374011100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Krystal Antionette Farnum, LMHC
• Barbara Marie Farrell, DO
• Mariya Fatakhova, PHARMD
• Faiz Fatteh, M.D.
• Naaz Fatteh, MD
• Saad Fattouhi, MD
• Daniela G. Fawcett, MD
• Ashley Fazio
• Fedforce Rehab and Training, LLC
• John Feest

• Allergy & Immunology Physician in Plantation, FL
• Providers in Plantation, FL by specialty
• Allergy & Immunology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; 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.

Verify at the official NPI Registry.