Shalini Meera Boodram, MD
Individual provider Active NPI Physical Medicine & Rehabilitation Physician · Tavares, FL
NPI 1992053938 · NPPES record last updated Mar 22, 2026
Key facts
- NPI
- 1992053938
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Medicine & Rehabilitation Physician 208100000X
- License
- ME150743 (FL)
- Practice address
- 1000 Waterman Way
Tavares, FL 32778-5266 - Phone
- (352) 253-3333
- NPI assigned
- Aug 23, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 15
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physical Medicine and Rehabilitation
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Florida Hospital Medical Group Inc
Practice addresses (Care Compare)
2600 Westhall LN
Maitland, FL 32751-7102
Phone (407) 200-2700
Hospital & facility affiliations
- Adventhealth Waterman
- Adventhealth Waterman
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210812003245 | FL | Practitioner - Physical Medicine and Rehabilitation | 8123254893 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME150743 | FL | MD | Physical Medicine & Rehabilitation Physician |
Practice roles (5 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Metrohealth System | Current | Accepting new patients | |
| Dr. Shalini Boodram, MD, LLC | Physical Medicine & Rehabilitation | Current |
Accepting new patients |
| Florida Hospital Medical Group Inc | Current |
Accepting new patients | |
| Florida Hospital Medical Group Inc | Current |
Accepting new patients | |
| Lifespan Physician Group, Inc. | Past | Accepting new patients |
Locations
2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700
901 45th St
#2
Mangonia Park, FL 33407
Phone (561) 884-6494
901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300
1127 Royal Palm Beach Blvd
Royal Palm Beach, FL 33411
Phone (561) 440-7678
1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333
Networks
- Freedom Health HMO Network
Interoperability endpoints
- sboodram54979@direct.metrohealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | ME150743 | FL | Yes |
Addresses
Primary practice location
1000 Waterman Way
Tavares, FL 32778-5266
Mailing address
11259 66TH St N
West Palm Beach, FL 33412-1838
Phone (248) 497-9456
Other providers in Tavares, FL
- Sarah Boechat Dornas
- Allison Beth Boemer
- Jessica Bogard
- Dan Argin Boggus
- Tamika S. Bolden
- Miguel J Boque-Santiago
- Borys a Mascarenhas MD PA
- Richard T Bosshardt
- Brittney Bowen
- Charles D. Bowers
All providers in Tavares, FL · Physical Medicine & Rehabilitation Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 22, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.