Individual provider Active NPI

Shamiyaaz Riaz Jauhari, PA-C

  • Medical Physician Assistant
  • Miami, FL
National Provider Identifier
1740670538
Registry record updated Aug 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9108470 Issued in FL
Practice address
9555 SW 162ND Ave
Miami, FL 33196-6408
Phone
(786) 467-2000
NPI assigned
Jan 31, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9108470 FL Primary

Addresses

Primary practice location

9555 SW 162ND Ave
Miami, FL 33196-6408

Mailing address

15244 SW 175TH St
Miami, FL 33187-1830

Other practice location 1

3650 NW 82nd Ave
#201
Doral, FL 33166-6658
Phone (305) 537-7272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150915002571 FL Practitioner - Physician Assistant 2163739707 Reassigns benefits to 3 organizations
I20251021004521 TX Practitioner - Physician Assistant 2163739707 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

1317 Lake Pointe Pkwy
Sugar Land, TX 77478-3997
Phone (281) 637-7000

2499 Glades Rd
Boca Raton, FL 33431-7202
Phone (561) 479-2880

Hospital & facility affiliations

  • St Luke'S Hospital at the Vintage Hospital, Houston, TX, CCN 670075
  • St Luke'S the Woodlands Hospital Hospital, The Woodlands, TX, CCN 450862

Merit-based Incentive Payment System (MIPS)

Final score
99.45 of 100Reported as group
Quality
81.9
Promoting interoperability
98
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9108470FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Pediatrics LLC Current Accepting new patients
Little Stars Pediatric Center the Woodlands LLC Current Accepting new patients
Integrative Emergency Services Physician Group-Houston PLLC CurrentSince Sep 1, 2025 Accepting new patients
Little Stars Pediatric Center LLC Current Accepting new patients

Locations

20171 Chasewood Park Dr
#H
Houston, TX 77070
Phone (832) 534-5000

540 Interstate 45 S
Ste E
Huntsville, TX 77340
Phone (936) 755-8288

5161 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (281) 810-9326

11713 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 793-4600

1317 Lake Pointe Pkwy
#H
Sugar Land, TX 77478
Phone (281) 637-7000

Interoperability endpoints

  • Direct secure messaging: sjauhari469893@direct.stlukeshealth.org

Organizations & group practices 7

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 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": "1422662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596412800000",
    "number": "1740670538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15244 SW 175TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331871830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9555 SW 162ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331966408",
            "telephone_number": "786-467-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3650 NW 82nd Ave",
            "address_2": "#201",
            "address_purpose": "LOCATION",
            "city": "Doral",
            "state": "FL",
            "postal_code": "331666658",
            "country_code": "US",
            "telephone_number": "305-537-7272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAUHARI",
        "first_name": "SHAMIYAAZ",
        "middle_name": "RIAZ",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-31",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9108470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.