Individual provider Active NPI

Vladislav Shalmiyev, MD

  • Hospitalist Physician
  • Pembroke Pines, FL
National Provider Identifier
1740439330
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
ME123847 Issued in FL
Practice address
7800 Sheridan Street
Room 374
Pembroke Pines, FL 33024-2451
Phone
(954) 883-7025
NPI assigned
Sep 18, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X ME123847 FL Primary

Addresses

Primary practice location

7800 Sheridan Street
Room 374
Pembroke Pines, FL 33024-2451

Mailing address

7800 Sheridan St RM 374
Pembroke Pines, FL 33024-2536
Phone (954) 883-7025

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vshalmiyev127426@MHSDIRECT.NET

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
I20151104001421 FL Practitioner - Internal Medicine 1850518143 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
State University of New York Downstate Medical Center, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastside Hospitalists IncGroup PAC ID 9436157831, 179 clinicians

Practice addresses (Care Compare)

7800 Sheridan St
Pembroke Pines, FL 33024-2536
Phone (954) 962-9650

Hospital & facility affiliations

  • Memorial Hospital Pembroke Hospital, Pembroke Pines, FL, CCN 100230
  • Memorial Hospital West Hospital, Pembroke Pines, FL, CCN 100281
  • Memorial Regional Hospital Hospital, Hollywood, FL, CCN 100038

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME123847FLMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eastside Hospitalists Inc Hospitalist CurrentSince Nov 1, 2015 Accepting new patients
QMC LLC Hospitalist PastSince Feb 1, 2021 Accepting new patients

Locations

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

3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000

7800 Sheridan St
Rm 374
Pembroke Pines, FL 33024
Phone (954) 883-7025

7800 Sheridan St
Pembroke Pines, FL 33024
Phone (954) 962-9650

Interoperability endpoints

  • Direct secure messaging: vshalmiyev127426@mhsdirect.net

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 3

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": "1221696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1740439330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 SHERIDAN ST RM 374",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330242536",
            "telephone_number": "954-883-7025",
            "fax_number": "954-883-7015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 SHERIDAN STREET",
            "address_2": "ROOM 374",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330242451",
            "telephone_number": "954-883-7025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHALMIYEV",
        "first_name": "VLADISLAV",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-18",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME123847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vshalmiyev127426@MHSDIRECT.NET",
            "affiliation": "N",
            "address_1": "7800 Sheridan Street",
            "address_2": "Room 374",
            "city": "pembroke pines",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330242451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.