Individual provider Active NPI

Adnan Shariff, DPM

  • Podiatrist
  • Okeechobee, FL
National Provider Identifier
1669465431
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO2817 Issued in FL
Practice address
235 NE 19TH Dr
Okeechobee, FL 34972-1933
Phone
(863) 357-1166
Fax
(863) 357-0424
NPI assigned
Aug 26, 2005
Last updated
Jun 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO2817 FL
Podiatrist 213E00000X PO2817 FL Primary

Addresses

Primary practice location

235 NE 19TH Dr
Okeechobee, FL 34972-1933

Mailing address

235 NE 19TH Dr
Okeechobee, FL 34972-1933
Phone (863) 357-1166

Other identifiers 3

IdentifierTypeStateIssuer
002806700MedicaidFL
340060301MedicaidFL
340060300MedicaidFL

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071116000557 FL Practitioner - Podiatry 0648368159 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adnan Shariff IncGroup PAC ID 3375682545, 6 clinicians

Practice addresses (Care Compare)

235 NE 19TH Dr
Okeechobee, FL 34972-1933
Phone (863) 357-1166

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue163
Removal of skin lesions57
Removal of nail tissue784
Removal or shaving of skin growth432
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO2817FLMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Adnan Shariff, Inc Podiatrist CurrentSince May 10, 2010 Accepting new patients
Adnan Shariff, Inc Podiatrist CurrentSince Nov 1, 2008 Accepting new patients
Gateway Medical Group LC Past Accepting new patients
Adnan Shariff DPM PLLC Foot & Ankle Surgery Past Accepting new patients
Adnan Shariff DPM PLLC Foot & Ankle Surgery Past Accepting new patients
Adnan Shariff DPM PLLC Foot & Ankle Surgery Past Accepting new patients
Advanced Foot and Ankle Specialists PA Foot & Ankle Surgery Past Accepting new patients
Adnan Shariff DPM PLLC Foot & Ankle Surgery Past Accepting new patients

Locations

7050 W Palmetto Park Rd
Ste 18
Boca Raton, FL 33433
Phone (561) 391-8366

1008 W Sagamore Ave
Clewiston, FL 33440
Phone (863) 983-1103

2632 W Indiantown Rd
Jupiter, FL 33458
Phone (561) 340-3132

235 NE 19th Dr
Okeechobee, FL 34972
Phone (863) 357-1166

1791 SE Port St Lucie Blvd
Port St Lucie, FL 34952
Phone (772) 335-7171

10863 Park Blvd
Ste A
Seminole, FL 33772
Phone (727) 398-6650

1850 37th St
Ste A
Vero Beach, FL 32960
Phone (772) 562-9432

Interoperability endpoints

  • Direct secure messaging: shariff.adnan.001.0090107@asdpm.meditab.direct-ci.com
  • Direct secure messaging: shariff.adnan.003.0090107@asdpm.meditab.direct-ci.com
  • Direct secure messaging: shariff.adnan.004.0090107@asdpm.meditab.direct-ci.com
  • Direct secure messaging: shariff.adnan.005.0090107@asdpm.meditab.direct-ci.com
  • Direct secure messaging: shariff.adnan.006.0090107@asdpm.meditab.direct-ci.com
  • Direct secure messaging: shariff.adnan.007.0090107@asdpm.meditab.direct-ci.com
  • Direct secure messaging: shariff.adnan.008.0090107@asdpm.meditab.direct-ci.com
  • Direct secure messaging: shariff.adnan.009.0090107@asdpm.meditab.direct-ci.com
  • Direct secure messaging: shariff.adnan.018.0090107@asdpm.meditab.direct-ci.com
  • Direct secure messaging: shariff.adnan.019.0090107@asdpm.meditab.direct-ci.com
  • Direct secure messaging: shariff.adnan.020.0090107@asdpm.meditab.direct-ci.com

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 15

Hospital & facility affiliations 2

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": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1669465431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 NE 19TH DR",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349721933",
            "telephone_number": "863-357-1166",
            "fax_number": "863-357-0424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 NE 19TH DR",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349721933",
            "telephone_number": "863-357-1166",
            "fax_number": "863-357-0424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARIFF",
        "first_name": "ADNAN",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-26",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO2817",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO2817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002806700",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340060301",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340060300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Okeechobee, FL

Sources for this page

Verify at the official NPI Registry.