Individual provider Active NPI

Cindy Elisabeth Shaffer, M.D.

  • Internal Medicine Physician
  • Miami Beach, FL
National Provider Identifier
1649587247
Registry record updated Oct 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME108011 Issued in FL
Practice address
1691 Michigan Avenue
Suite 500
Miami Beach, FL 33139
Phone
(305) 538-3828
Fax
(305) 538-1979
NPI assigned
Sep 3, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME108011 FL Primary

Addresses

Primary practice location

1691 Michigan Avenue
Suite 500
Miami Beach, FL 33139

Mailing address

1691 Michigan Ave
Suite 500
Miami Beach, FL 33139-2520
Phone (305) 538-3828

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
I20250522001196 FL Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 3072785096

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME108011FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beach Medical Associates Inc. Past Accepting new patients
Paulista Medical Care LLC Internal Medicine PastSince Sep 1, 2011 Accepting new patients

Organizations & group practices 2

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": "1283472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414108800000",
    "number": "1649587247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1691 MICHIGAN AVE",
            "address_2": "SUITE 500",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331392520",
            "telephone_number": "305-538-3828",
            "fax_number": "305-538-1979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1691 MICHIGAN AVENUE",
            "address_2": "SUITE 500",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "33139",
            "telephone_number": "305-538-3828",
            "fax_number": "305-538-1979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFFER",
        "first_name": "CINDY",
        "middle_name": "ELISABETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-03",
        "last_updated": "2014-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME108011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.