Shahab U Kidwai, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

ME0036081 Issued in FL

Practice address

2000 N Federal Hwy
Suite 203
Pompano Beach, FL 33062-1022

Phone

(954) 783-0223

Fax

(954) 786-8628

NPI assigned

Sep 30, 2005

Last updated

Apr 17, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Ismail M.D., P.a.

  • Neurology Physician
  • Tamarac, FL
  • NPI 1679971030
  NPD (past)

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523923200000",
    "number": "1780671263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 N FEDERAL HWY",
            "address_2": "SUITE 203",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330621022",
            "telephone_number": "954-783-0223",
            "fax_number": "954-786-8628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 N FEDERAL HWY",
            "address_2": "SUITE 203",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330621022",
            "telephone_number": "954-783-0223",
            "fax_number": "954-786-8628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIDWAI",
        "first_name": "SHAHAB",
        "middle_name": "U",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2018-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0036081",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME0036081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dahlia Khanns, NP
• Kids Care Dental and Orthodontics of Pompano Beach
• Kids Healthy Smiles LLC
• Kids Life Solutions LLC (The Comprehensive Counselor)
• Kids Speech,Physical, and Occupational Therapy, Inc (Kids S.P.O.T.)
• Kidz Progressive Therapeutic Services
• Elizabeth J Kief
• Kamoi Kiklevich, APRN
• Hyuna Kim, D.M.D
• Tae Y Kim

• Neurology Physician in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Neurology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.