Active NPI
Shareen M Greenbaum, MD
- Ophthalmology Physician
- Hollywood, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- ME97538
- 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, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 277992700 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 72.01
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 243 |
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hollywood Eye Institute, PA | Ophthalmology | Current | Accepting new patients |
| Marc Jay Gannon Optometrist PA | Past | Accepting new patients | |
| Gedeon Medical Center, MD | Past | 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
- 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.
-
- Ophthalmology Physician
- Hollywood, FL
- NPI 1407102247
-
- Primary Care Clinic/Center
- Hollywood, FL
- NPI 1922753516
-
- Low Vision Rehabilitation Optometrist
- Fort Lauderdale, FL
- NPI 1194974782
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; 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.