NPIMap

Individual provider Active NPI

Shaughn C Bennett, D.O.

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1891758132
Registry record updated Mar 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS5245 Issued in FL
Practice address
9240 Sunset Dr
Suite 229
Miami, FL 33173-3261
Phone
(305) 270-3236
Fax
(305) 270-3237
NPI assigned
Apr 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS5245 FL Primary

Addresses

Primary practice location

9240 Sunset Dr
Suite 229
Miami, FL 33173-3261

Mailing address

PO Box 560604
Miami, FL 33256-0604
Phone (305) 270-3236

Other identifiers 6

IdentifierTypeStateIssuer
80019OtherFLBCBS
224516OtherFLAVMED
411396OtherFLAETNA
000343OtherFLNEIGHBORHOOD HEALTH PARTN
1686622002OtherFLCIGNA
170254OtherFLHUMANA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070711000053 FL Practitioner - Family PracticePractitioner - Hospice/Palliative Care 4385744093 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospice/Palliative Care
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9240 Sunset Dr
Suite 229
Miami, FL 33173-3264
Phone (305) 270-3236

Hospital & facility affiliations

  • Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care Physicians of Palmetto Bay LLC PastSince Mar 26, 2023 Accepting new patients
Urgent Care Physicians of West Kendall LLC PastSince Mar 26, 2023 Accepting new patients
Urgent Care Physicians of Country Walk LLC PastSince Mar 26, 2023 Accepting new patients
Urgent Care Physicians of Tamiami LLC PastSince Mar 26, 2023 Accepting new patients
Urgent Care Physicians of Westchester LLC PastSince Mar 26, 2023 Accepting new patients
Criticare Clinics Inc Past Accepting new patients

Organizations & group practices 7

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 4

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": "1144454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301443200000",
    "number": "1891758132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 560604",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "332560604",
            "telephone_number": "305-270-3236",
            "fax_number": "305-270-3237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9240 SUNSET DR",
            "address_2": "SUITE 229",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733261",
            "telephone_number": "305-270-3236",
            "fax_number": "305-270-3237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "SHAUGHN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-08",
        "last_updated": "2011-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS5245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "80019",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "224516",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "411396",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PARTN",
            "identifier": "000343",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1686622002",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "170254",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.