Individual provider Active NPI

Charlene S. Shookoff, MD

  • Allergy & Immunology Physician
  • Boca Raton, FL
National Provider Identifier
1669435483
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
ME0059769 Issued in FL
Practice address
9970 Central Park Blvd N Ste 302
Boca Raton, FL 33428-2237
Phone
(561) 883-6400
Fax
(561) 883-6682
NPI assigned
Apr 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME0059769 FL
Allergy & Immunology Physician 207K00000X ME0059769 FL Primary

Addresses

Primary practice location

9970 Central Park Blvd N Ste 302
Boca Raton, FL 33428-2237

Mailing address

7800 S.W. 87TH Avenue
Suite C-340
Miami, FL 33173-3570
Phone (305) 595-0109

Other identifiers 1

IdentifierTypeStateIssuer
258442500MedicaidFL

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
I20100618000182 FL Practitioner - Allergy/Immunology 6103956198 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
70.51 of 100Reported as group
Quality
70.82
Improvement activities
40
Cost
55.21

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Asthma & Allergy Associates of FL PA Allergy & Immunology CurrentSince Aug 13, 2009 Accepting new patients
Allergy & Asthma Associates of South Florida PA Allergy & Immunology Past Accepting new patients
Allergy & Asthma Associates of South Florida PA Allergy & Immunology Past Accepting new patients
Asthma & Allergy Associates of FL PA PastSince Apr 30, 2023 Accepting new patients

Locations

9970 Central Park Blvd N
Ste 302
Boca Raton, FL 33428
Phone (561) 477-7500

9600 W Sample Rd
Ste 400
Coral Springs, FL 33065
Phone (954) 753-5770

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.

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1669435483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 S.W. 87TH AVENUE",
            "address_2": "SUITE C-340",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733570",
            "telephone_number": "305-595-0109",
            "fax_number": "305-595-7092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9970 CENTRAL PARK BLVD N STE 302",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334282237",
            "telephone_number": "561-883-6400",
            "fax_number": "561-883-6682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOOKOFF",
        "first_name": "CHARLENE",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-11",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0059769",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "FL",
            "license": "ME0059769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "258442500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.