Individual provider Active NPI

Ben Simon Shatil, DO, MPH

  • Anesthesiology Physician
  • Fort Lauderdale, FL
National Provider Identifier
1619396397
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
OS16542 Issued in FL
Practice address
3314 Griffin Rd
Fort Lauderdale, FL 33312-5554
Phone
(954) 832-7100
Fax
(954) 256-9423
NPI assigned
Apr 10, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X OS16542 FL Primary
Anesthesiology Physician 207L00000X 101995-875 WI
Anesthesiology Physician 207L00000X 295817 NY
Anesthesiology Physician 207L00000X 83639 GA

Addresses

Primary practice location

3314 Griffin Rd
Fort Lauderdale, FL 33312-5554

Mailing address

3314 Griffin Rd
Fort Lauderdale, FL 33312-5554
Phone (954) 832-7100

Other practice location 1

4614 Hollywood Blvd
Hollywood, FL 33021-6502
Phone (954) 256-9422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220201002703 NY Practitioner - Anesthesiology 1850638404 Reassigns benefits to 1 organization
I20230715000106 FL Practitioner - Anesthesiology 1850638404 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Nova Southeastern College of Osteo Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Dynamics LLCGroup PAC ID 3779832530, 883 clinicians
Miami Beach Anesthesiology Associates IncGroup PAC ID 6103713243, 61 clinicians

Practice addresses (Care Compare)

4300 Alton Rd
Miami, FL 33140-2948
Phone (888) 851-4642

Hospital & facility affiliations

  • Mount Sinai Medical Center of Florida, Inc Hospital, Miami Beach, FL, CCN 100034

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
295817NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
North American Partners in Anesthesia LLP Anesthesiology CurrentSince Aug 1, 2022 Accepting new patients
Anesthesiology Professional Services, Inc. Anesthesiology CurrentSince Oct 18, 2024 Accepting new patients
New York University CurrentSince Feb 14, 2022 Accepting new patients
Anesthesia Dynamics LLC Anesthesiology CurrentSince Sep 18, 2025 Accepting new patients
New York University CurrentSince Feb 14, 2022 Accepting new patients
New York University Anesthesiology Current Accepting new patients
Renew Pain and Wellness Center of South Florida Inc Anesthesiology Current Accepting new patients
Vituity-Wisconsin Anesthesia SC Anesthesiology CurrentSince Aug 12, 2024 Accepting new patients
Miami Beach Anesthesiology Associates Inc Anesthesiology CurrentSince Jan 13, 2025 Accepting new patients
Vituity-Wisconsin Anesthesia SC Anesthesiology CurrentSince Aug 12, 2024 Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

4614 Hollywood Blvd
Hollywood, FL 33021
Phone (954) 256-9422

460 Saint Charles Ct
Lake Mary, FL 32746
Phone (407) 585-0260

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

9035 Sunset Dr
Ste 200
Miami, FL 33173
Phone (786) 615-6210

4300 Alton Rd
Miami Beach, FL 33140
Phone (305) 481-9776

1955 Textile Way
Gainesville, GA 30501
Phone (678) 987-1499

7 Southwoods Blvd
Ste 4
Albany, NY 12211

121 DeKalb Ave
Brooklyn, NY 11201
Phone (718) 250-6604

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341

530 1st Ave
New York, NY 10016
Phone (212) 263-7216

9555 76th St
Pleasant Prairie, WI 53158
Phone (262) 577-8000

Interoperability endpoints

  • Direct secure messaging: bshatil2138122@nychhc.direct-ci.com

Organizations & group practices 10

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 1

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": "1397088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1619396397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3314 GRIFFIN RD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333125554",
            "telephone_number": "954-832-7100",
            "fax_number": "954-256-9423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3314 GRIFFIN RD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333125554",
            "telephone_number": "954-832-7100",
            "fax_number": "954-256-9423"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4614 Hollywood Blvd",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330216502",
            "country_code": "US",
            "telephone_number": "954-256-9422",
            "fax_number": "954-256-9423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHATIL",
        "first_name": "BEN",
        "middle_name": "SIMON",
        "name_prefix": "Dr.",
        "credential": "DO, MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-10",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "OS16542",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WI",
            "license": "101995-875",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "295817",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "83639",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.