Individual provider Active NPI

Kimberly A Lyn Shue, MD

  • Rheumatology Physician
  • Sarasota, FL
National Provider Identifier
1669805685
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
ME134785 Issued in FL
Practice address
1945 Versailles St
Sarasota, FL 34239
Phone
(941) 365-0770
Fax
(941) 955-8984
NPI assigned
Aug 13, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME134785 FL
Rheumatology Physician 207RR0500X ME134785 FL Primary

Addresses

Primary practice location

1945 Versailles St
Sarasota, FL 34239

Mailing address

1945 Versailles St
Sarasota, FL 34239-6900
Phone (941) 365-0770

Other practice location 1

684 S Indiana Ave
Englewood, FL 34223-3706
Phone (941) 475-3839

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kimberly.shue@direct.sarasotaarthritis.nextgenshare.com
Direct Messaging Address kimberly.shue@direct.sarasotaarthritis.nextgenshare.com

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
I20180731000299 FL Practitioner - Rheumatology 1254689839 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nokomis Physical Therapy LLCGroup PAC ID 8628240843, 104 clinicians
Weitzner Yonker and Kaine MD PAGroup PAC ID 3072598655, 16 clinicians

Practice addresses (Care Compare)

109 Laurel Rd E
Nokomis, FL 34275-5233
Phone (941) 375-8734

1945 Versailles St
FL 2
Sarasota, FL 34239-6900
Phone 94136507701028

Hospital & facility affiliations

  • Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087

Merit-based Incentive Payment System (MIPS)

Final score
98.2 of 100Reported as group
Quality
100
Promoting interoperability
94
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME134785FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Weitzner Yonker & Kaine MD PA Rheumatology CurrentSince Jul 29, 2018 Accepting new patients

Locations

684 S Indiana Ave
Englewood, FL 34223
Phone 94136507701028

1945 Versailles St
Fl 2
Sarasota, FL 34239
Phone (941) 365-0770

1945 Versailles St
Sarasota, FL 34239
Phone (941) 365-0770

411 Commercial Ct
Ste D
Venice, FL 34292
Phone (941) 484-4409

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.

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": "1376352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1669805685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 VERSAILLES ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342396900",
            "telephone_number": "941-365-0770",
            "fax_number": "941-955-8984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 VERSAILLES ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "34239",
            "telephone_number": "941-365-0770",
            "fax_number": "941-955-8984"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "684 S Indiana Ave",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "FL",
            "postal_code": "342233706",
            "country_code": "US",
            "telephone_number": "941-475-3839",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYN SHUE",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-13",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME134785",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "FL",
            "license": "ME134785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kimberly.shue@direct.sarasotaarthritis.nextgenshare.com",
            "affiliation": "N",
            "address_1": "1945 Versailles St",
            "city": "Sarasota",
            "state": "FL",
            "country_code": "US",
            "postal_code": "34239",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kimberly.shue@direct.sarasotaarthritis.nextgenshare.com",
            "affiliation": "N",
            "address_1": "684 S Indiana Ave",
            "city": "Englewood",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342233706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.