Organization Active NPI

Shamsad Begum MD PA

  • Primary Care Clinic/Center
  • West Palm Beach, FL
National Provider Identifier
1770716623
Registry record updated May 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
ME7377870 Issued in FL
Legal business name
SHAMSAD BEGUM MD PA
Practice address
1195 N Military TRL
West Palm Beach, FL 33409-6058
Phone
(561) 683-4100
Fax
(561) 683-4100
NPI assigned
Aug 26, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2013

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

Authorized official

Name
Dr. Shamsad Begum, MDNPI 1386629673
Title
Owner
Phone
(954) 676-5382

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X ME7377870 FL Primary

Addresses

Primary practice location

1195 N Military TRL
West Palm Beach, FL 33409-6058

Mailing address

1195 N Military TRL
Suite 2a
West Palm Beach, FL 33409-6058
Phone (561) 683-4100

Other identifiers 4

IdentifierTypeStateIssuer
006570100OtherFLGRP MEDICAID ID
DN212AOtherFLMEDICARE GRP PTAN
257951100MedicaidFL
DN212AOtherFLMEDICARE GRP NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100923000439 FL Part B Supplier - Clinic/Group Practice 1355467705 Receives reassigned benefits from 1 practitioner
Practice locations: West Palm Beach, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0991921Shamsad Begum MD PA1195 N Military TRL 2a, West Palm Beach, FL 33409Certificate of waiverDec 2, 2026

National Provider Directory

National Provider Directory

Locations

1195 N Military Trl
#2A
West Palm Beach, FL 33409

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1251244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367366400000",
    "number": "1770716623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1195 N MILITARY TRL",
            "address_2": "SUITE 2A",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334096058",
            "telephone_number": "561-683-4100",
            "fax_number": "561-683-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1195 N MILITARY TRL",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334096058",
            "telephone_number": "561-683-4100",
            "fax_number": "561-683-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAMSAD BEGUM MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-26",
        "last_updated": "2013-05-01",
        "status": "A",
        "authorized_official_last_name": "BEGUM",
        "authorized_official_first_name": "SHAMSAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-676-5382",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME7377870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GRP MEDICAID ID",
            "identifier": "006570100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GRP PTAN",
            "identifier": "DN212A",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "257951100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GRP NPI",
            "identifier": "DN212A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.