Individual provider Active NPI

Matthew Raymond Shandy, MD

  • Obstetrics & Gynecology Physician
  • Loxahatchee, FL
National Provider Identifier
1902484660
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
175389 Issued in FL
Practice address
12953 Palms West Dr Ste 101
Loxahatchee, FL 33470-4991
Phone
(561) 795-2400
NPI assigned
Apr 1, 2021
Last updated
Jul 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 1902484660 KS
Obstetrics & Gynecology Physician 207V00000X 175389 FL Primary

Addresses

Primary practice location

12953 Palms West Dr Ste 101
Loxahatchee, FL 33470-4991

Mailing address

12953 Palms West Dr Ste 101
Loxahatchee, FL 33470-4991
Phone (561) 795-2400

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
I20250826004473 FL Practitioner - Obstetrics/Gynecology 5597166157 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Kansas School of Med (KC/Wich/Sal), 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Raulerson GYN LLCGroup PAC ID 9335213388, 7 clinicians

Practice addresses (Care Compare)

12953 Palms W Dr
Suite 101
Loxahatchee, FL 33470-4991
Phone (561) 795-2400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
175389FLMDObstetrics & Gynecology Physician
1902484660KSMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Raulerson GYN LLC CurrentSince Oct 13, 2025 Accepting new patients
Palms West OB-GYN Associates PA Obstetrics & Gynecology PastSince Jun 29, 2025 Accepting new patients

Locations

12953 Palms West Dr
Ste 101
Loxahatchee, FL 33470
Phone (407) 795-2400

603 Village Blvd
Ste 201
West Palm Beach, FL 33409
Phone (561) 683-1331

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: matthew.shandy@hca4.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1617235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1902484660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12953 PALMS WEST DR STE 101",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334704991",
            "telephone_number": "561-795-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12953 PALMS WEST DR STE 101",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334704991",
            "telephone_number": "561-795-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANDY",
        "first_name": "MATTHEW",
        "middle_name": "RAYMOND",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-01",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KS",
            "license": "1902484660",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "175389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loxahatchee, FL

Sources for this page

Verify at the official NPI Registry.