Individual provider Active NPI

Shari B Rosenbaum, MD

  • Internal Medicine Physician
  • Boca Raton, FL
National Provider Identifier
1750307823
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME95253 Issued in FL
Practice address
1500 NW 10TH Ave Ste 105
Boca Raton, FL 33486-1344
Phone
(561) 717-7057
Fax
(561) 717-7110
NPI assigned
Jul 14, 2006
Last updated
May 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME95253 FL Primary

Addresses

Primary practice location

1500 NW 10TH Ave Ste 105
Boca Raton, FL 33486-1344

Mailing address

1500 NW 10TH Ave Ste 105
Boca Raton, FL 33486-1344
Phone (561) 717-7057

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 1, 2024 through Apr 1, 2028

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bespoke Health and Wellness PLLC Internal Medicine Current Accepting new patients
Park Lenox Medical, PC Internal Medicine Past Accepting new patients
Park Avenue Medical Associates, P.C. PastSince Dec 4, 1999 Accepting new patients
LHHN Medical, P.C. Internal Medicine Past Accepting new patients

Locations

1500 NW 10th Ave
Ste 105
Boca Raton, FL 33486
Phone (561) 368-4064

Interoperability endpoints

  • Direct secure messaging: shari.rosenbaum.1@31317.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1750307823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 NW 10TH AVE STE 105",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861344",
            "telephone_number": "561-717-7057",
            "fax_number": "561-717-7110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 NW 10TH AVE STE 105",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861344",
            "telephone_number": "561-717-7057",
            "fax_number": "561-717-7110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBAUM",
        "first_name": "SHARI",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2024-05-09",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME95253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.