Individual provider Active NPI

Sean M Shea, MD

  • Neurology Physician
  • Miami, FL
National Provider Identifier
1760489397
Registry record updated Sep 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME21554 Issued in FL
Practice address
5200 NE 2ND Ave
Miami, FL 33137-2706
Phone
(727) 300-0063
Fax
(727) 954-6546
NPI assigned
Jun 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X ME21554 FL Primary

Addresses

Primary practice location

5200 NE 2ND Ave
Miami, FL 33137-2706

Mailing address

1053 NE 95TH St
Miami Shores, FL 33138-2547
Phone (272) 300-0063

Other practice location 1

2063 Biscayne Blvd Fl 5
Miami, FL 33137
Phone (305) 682-2900

Other identifiers 12

IdentifierTypeStateIssuer
400001240000OtherFLPREFERRED CARE PARTNERS
1007868OtherFLCARE PLUS
4069240OtherFLAETNA LIFE INS CO
059271400MedicaidFL
1256962OtherFLCIGNA
22358OtherFLWELLCARE/STAYWELL
D70704OtherFLVISTA
217614OtherFLAVMED
3099321OtherFLGHI
130018640OtherFLRAILROAD MEDICARE
3532MTSNOtherFLNHP
78416OtherFLBLUE CROSS BLUE SHIELD

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
I20100303000536 FL Practitioner - Neurology 6305833054 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Perelman School of Med at the University of Pennsylvania, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4300 Alton Rd
Miami, FL 33140-2948
Phone (305) 674-2273

5200 NE 2ND Ave
Miami Jewish Home
Miami, FL 33137-2706
Phone (305) 751-8626

955 NW 3Rd St
Select Specialty Hospital
Miami, FL 33128-1274
Phone (305) 416-5700

Hospital & facility affiliations

  • Mount Sinai Medical Center of Florida, Inc Hospital, Miami Beach, FL, CCN 100034
  • Douglas Gardens Hospital Hospital, Miami, FL, CCN 100277

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME21554FLMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sean Shea MD PLLC CurrentSince Dec 2, 2022 Accepting new patients
Preferred Medical Plan Past Accepting new patients

Locations

955 NW 3rd St
Miami, FL 33128
Phone (305) 416-5700

5200 NE 2nd Ave
Miami, FL 33137
Phone (305) 762-1387

4300 Alton Rd
#2060
Miami Beach, FL 33140
Phone (305) 532-2464

4300 Alton Rd
Ste 2060
Miami Beach, FL 33140
Phone (305) 532-2464

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 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": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693785600000",
    "number": "1760489397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1053 NE 95TH ST",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331382547",
            "telephone_number": "272-300-0063",
            "fax_number": "727-954-6546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 NE 2ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331372706",
            "telephone_number": "727-300-0063",
            "fax_number": "727-954-6546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2063 Biscayne Blvd Fl 5",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "33137",
            "country_code": "US",
            "telephone_number": "305-682-2900",
            "fax_number": "786-753-6113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEA",
        "first_name": "SEAN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2023-09-04",
        "certification_date": "2023-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME21554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE PARTNERS",
            "identifier": "400001240000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE PLUS",
            "identifier": "1007868",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA LIFE INS CO",
            "identifier": "4069240",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "059271400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1256962",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE/STAYWELL",
            "identifier": "22358",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISTA",
            "identifier": "D70704",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "217614",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "3099321",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "130018640",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHP",
            "identifier": "3532MTSN",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "78416",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.