Active NPI
Shirene Tabarestani, PA-C
- Physician Assistant
- Miami Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9115112
- Practice address
- 4300 Alton Rd Ste 2110
Miami Beach, FL 33140-2948 - Phone
- (305) 674-2780
- NPI assigned
- Sep 28, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9115112 | FL | Primary |
| Physician Assistant | 363A00000X |
Addresses
Primary practice location
4300 Alton Rd Ste 2110
Miami Beach, FL 33140-2948
Mailing address
10626 NE 10TH PL
Miami Shores, FL 33138-2104
Phone (786) 897-9710
Other practice location 1
1115 S Federal Hwy
Fort Lauderdale, FL 33316-1256
Phone (954) 764-6646
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Manning Dr
Chapel Hill, NC 27514-4220
Phone (984) 974-1000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of North Carolina at Chapel Hill | Current | Accepting new patients | |
| Park Ophthalmology | Past | Accepting new patients |
Locations
101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485
Interoperability endpoints
- stabarestani81258@direct.msmc.com
- stabarestani2023441@direct.trinity-health.org
Organizations & group practices 4
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.
-
dba UNC Faculty Physicians
- Anesthesiology Physician
- Chapel Hill, NC
- NPI 1780669200
-
- Urgent Care Clinic/Center
- Fort Lauderdale, FL
- NPI 1144824699
-
- Neurological Surgery Physician
- Miami Beach, FL
- NPI 1356630628
-
- Ophthalmology Physician
- Durham, NC
- NPI 1619150141
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Doral, FL
- NPI 1629280581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664064000000",
"number": "1902578016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10626 NE 10TH PL",
"city": "MIAMI SHORES",
"state": "FL",
"postal_code": "331382104",
"telephone_number": "786-897-9710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 ALTON RD STE 2110",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331402948",
"telephone_number": "305-674-2780"
}
],
"practiceLocations": [
{
"address_1": "1115 S Federal Hwy",
"address_purpose": "LOCATION",
"city": "Fort Lauderdale",
"state": "FL",
"postal_code": "333161256",
"country_code": "US",
"telephone_number": "954-764-6646",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TABARESTANI",
"first_name": "SHIRENE",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-28",
"last_updated": "2022-09-25",
"certification_date": "2022-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9115112",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2022; 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.
- 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.