Individual provider Active NPI

Gary Shienbaum, M.D.

  • Ophthalmology Physician
  • Hollywood, FL
National Provider Identifier
1770781502
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME109057 Issued in FL
Practice address
7261 Sheridan St Ste 320
Hollywood, FL 33024-2708
Phone
(954) 372-7220
Fax
(954) 613-9522
NPI assigned
Jul 3, 2007
Last updated
Oct 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME109057 FL Primary
Retina Specialist (Ophthalmology) Physician 207WX0107X ME109057 FL

Addresses

Primary practice location

7261 Sheridan St Ste 320
Hollywood, FL 33024-2708

Mailing address

7261 Sheridan St Ste 320
Hollywood, FL 33024-2725
Phone (954) 372-7220

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gshienbaum@garyshienbaum.intellechartdirect.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
I20110829000556 FL Practitioner - Ophthalmology 0648440768 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Jefferson Medical College of Thomas Jefferson University, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Vitreous ConsultantsGroup PAC ID 4082610019, 43 clinicians

Practice addresses (Care Compare)

6333 N Federal Hwy
Suite 300
Ft Lauderdale, FL 33308-1909
Phone (954) 776-6880

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
89.49 of 100Reported as group
Quality
75.46
Promoting interoperability
79
Improvement activities
40
Cost
73.67

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME109057FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Vitreous Consultants Ophthalmology CurrentSince Oct 1, 2024 Accepting new patients
DRS Airala Laser & Cataract Institute PA Ophthalmology CurrentSince Jul 16, 2022 Accepting new patients
Stanley D Braverman MD LLC Ophthalmology Past Accepting new patients
University of Miami Past Accepting new patients

Locations

950 Glades Rd
Ste 1C
Boca Raton, FL 33431
Phone (305) 294-5504

6333 N Federal Hwy
Ste 300
Ft Lauderdale, FL 33308
Phone (954) 776-6880

7261 Sheridan St
Ste 320
Hollywood, FL 33024
Phone (305) 898-7720

2441 SW 37th Ave
Miami, FL 33145
Phone (305) 442-0055

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: gshienbaum@garyshienbaum.intellechartdirect.net
  • Direct secure messaging: gshienbaum@rgfla.intellechartdirect.net
  • Direct secure messaging: gshienbaum215358@mhsdirect.net

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.

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": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1770781502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7261 SHERIDAN ST STE 320",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330242725",
            "telephone_number": "954-372-7220",
            "fax_number": "954-613-9522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7261 SHERIDAN ST STE 320",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330242708",
            "telephone_number": "954-372-7220",
            "fax_number": "954-613-9522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIENBAUM",
        "first_name": "GARY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-03",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME109057",
            "primary": true
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "FL",
            "license": "ME109057",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gshienbaum@garyshienbaum.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "7261 Sheridan St Ste 320",
            "city": "Hollywood",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330242708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.