Shelby Knowles, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME138315 Issued in FL

Practice address

2589 N State Road 7
Lauderdale Lakes, FL 33313-2778

Phone

(954) 714-1264

NPI assigned

Apr 28, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Chen Neighborhood Medical Centers of South Florida, LLC

  • Specialist
  • Miami Gardens, FL
  • NPI 1881024800
  Medicare reassignment

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

{
    "created_epoch": "1461801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1922453844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 NW 167TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331695710",
            "telephone_number": "954-714-1264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2589 N STATE ROAD 7",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333132778",
            "telephone_number": "954-714-1264"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2900 Mercy Ln Fl 3",
            "address_purpose": "LOCATION",
            "city": "Cheverly",
            "state": "MD",
            "postal_code": "207851157",
            "country_code": "US",
            "telephone_number": "301-618-6882",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20801 NW 2nd Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331692103",
            "country_code": "US",
            "telephone_number": "305-653-1770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1431 NE 162nd St",
            "address_purpose": "LOCATION",
            "city": "North Miami Beach",
            "state": "FL",
            "postal_code": "331624620",
            "country_code": "US",
            "telephone_number": "305-949-0999",
            "fax_number": "305-944-5648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNOWLES",
        "first_name": "SHELBY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-28",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME138315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Logan Kienholz
• Jessica Kim
• Kind Assured Services
• William V King
• Dhanpattie Kissoon, FNP
• Phoebe Marie Knox, FNP
• Margarita Kogan, DO
• Riva Konoval, PA
• Bela L Kovacs, MD
• Victoria Gabriella Kremer

• Family Medicine Physician in Lauderdale Lakes, FL
• Providers in Lauderdale Lakes, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.