Individual provider Active NPI

Shareen M Greenbaum, MD

  • Ophthalmology Physician
  • Hollywood, FL
National Provider Identifier
1912039363
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME97538 Issued in FL
Practice address
9999 Sheridan St Ste 100
Hollywood, FL 33024-3086
Phone
(954) 447-0606
Fax
(954) 447-0605
NPI assigned
Mar 12, 2007
Last updated
Apr 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME97538 FL Primary

Addresses

Primary practice location

9999 Sheridan St Ste 100
Hollywood, FL 33024-3086

Mailing address

9999 Sheridan St
Ste 100
Cooper City, FL 33024-1531
Phone (954) 447-0606

Other identifiers 1

IdentifierTypeStateIssuer
277992700MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sgreenbaum@directaddress.net Direct

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
I20071023000556 FL Practitioner - Ophthalmology 1658467592 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Wayne State University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hollywood Eye Institute, PAGroup PAC ID 0143475632, 4 clinicians

Practice addresses (Care Compare)

9999 Sheridan St
Suite 100
Hollywood, FL 33024-3086
Phone (954) 447-0606

Merit-based Incentive Payment System (MIPS)

Final score
91.6 of 100Reported as group
Quality
100
Improvement activities
40
Cost
72.01

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery243
Melanoma (skin cancer) excision1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hollywood Eye Institute, PA Ophthalmology CurrentSince Jan 15, 2013 Accepting new patients
Marc Jay Gannon Optometrist PA PastSince Oct 19, 2020 Accepting new patients
Gedeon Medical Center, MD PastSince Feb 24, 2022 Accepting new patients

Locations

209 E Hallandale Beach Blvd
Hallandale Beach, FL 33009
Phone (954) 454-7373

11011 Sheridan St
Ste 215
Hollywood, FL 33026
Phone (954) 447-0606

9999 Sheridan St
Ste 100
Hollywood, FL 33024
Phone (954) 447-0606

Interoperability endpoints

  • Direct secure messaging: sgreenbaum@directaddress.net

Organizations & group practices 3

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": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1912039363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9999 SHERIDAN ST",
            "address_2": "STE 100",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "330241531",
            "telephone_number": "954-447-0606",
            "fax_number": "954-447-0605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9999 SHERIDAN ST STE 100",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330243086",
            "telephone_number": "954-447-0606",
            "fax_number": "954-447-0605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBAUM",
        "first_name": "SHAREEN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME97538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277992700",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sgreenbaum@directaddress.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9999 Sheridan St Ste 100",
            "city": "Hollywood",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330243086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.