Individual provider Active NPI

Bahbak Shariat-Madar

  • Otolaryngology Physician
  • Miami Beach, FL
National Provider Identifier
1922453497
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
ME148076 Issued in FL
Practice address
4302 Alton Rd Ste 115
Miami Beach, FL 33140-2892
Phone
(305) 667-4515
Fax
(305) 822-5860
NPI assigned
May 3, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X ME148076 FL Primary

Addresses

Primary practice location

4302 Alton Rd Ste 115
Miami Beach, FL 33140-2892

Mailing address

15280 NW 79TH CT Ste 200
Miami Lakes, FL 33016-5873
Phone (305) 558-3724

Other practice location 1

21150 Biscayne Blvd Ste 102
Aventura, FL 33180-1231
Phone (305) 531-7637

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bahbakmadar@sfa.allscriptsdirect.net South Florida ENT Associates, Inc.

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
I20210603000039 FL Practitioner - Otolaryngology 0042501728 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehabclinics Pta IncGroup PAC ID 0547237497, shared by 11 NPIs, 209 clinicians
Florida ENT Associates IncGroup PAC ID 4587556923, 156 clinicians

Practice addresses (Care Compare)

13645 Biscayne Blvd
North Miami Beach, FL 33181-1617
Phone (305) 949-2700

4302 Alton Rd
Suite 115
Miami Beach, FL 33140-2892
Phone (305) 531-7637

Hospital & facility affiliations

  • Mount Sinai Medical Center of Florida, Inc Hospital, Miami Beach, FL, CCN 100034

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida ENT Associates, Inc. Otolaryngology CurrentSince Jul 1, 2021 Accepting new patients
Florida ENT Associates, Inc. Otolaryngology PastSince Jan 1, 2022 Accepting new patients

Locations

9915 NW 41st St
Ste 220
Doral, FL 33178
Phone (305) 477-1133

21150 Biscayne Blvd
Ste 102
Miami, FL 33180
Phone (305) 933-3395

8940 N Kendall Dr
Ste 504E
Miami, FL 33176
Phone (305) 595-6200

4302 Alton Rd
Ste 115
Miami Beach, FL 33140
Phone (305) 531-7637

15280 NW 79th Ct
Ste 200
Miami Lakes, FL 33016

8181 NW 154th St
Ste 200
Miami Lakes, FL 33016
Phone (225) 298-3537

18501 Pines Blvd
Ste 210
Pembroke Pines, FL 33029
Phone (954) 237-2505

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1462233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1922453497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15280 NW 79TH CT STE 200",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330165873",
            "telephone_number": "305-558-3724",
            "fax_number": "786-907-4485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 ALTON RD STE 115",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402892",
            "telephone_number": "305-667-4515",
            "fax_number": "305-822-5860"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21150 Biscayne Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Aventura",
            "state": "FL",
            "postal_code": "331801231",
            "country_code": "US",
            "telephone_number": "305-531-7637",
            "fax_number": "305-532-3040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHARIAT-MADAR",
        "first_name": "BAHBAK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-03",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "ME148076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bahbakmadar@sfa.allscriptsdirect.net",
            "affiliation": "Y",
            "affiliationName": "South Florida ENT Associates, Inc.",
            "address_1": "4302 Alton Rd Ste 115",
            "city": "Miami Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331402892",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.