ALEKSEY PETROVICH SHUBIN (MD) – General Practice Physician, NPI 1003445602

ALEKSEY PETROVICH SHUBIN (MD) is a healthcare provider. based in Davie, Florida. specializing in GENERAL PRACTICE. They hold the professional credentials MD. They hold a License No. ME158126 (FL). The NPI Number for ALEKSEY PETROVICH SHUBIN (MD) is 1003445602

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
ALEKSEY PETROVICH SHUBIN (MD)
NPI
1003445602
Phone
(954) 434-1705
Address
4780 SW 64TH AVE STE 103
Enumeration Date
6 April 2020
Last Update Date
3 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9543999941
Graduation Year
2020 (6 years ago)
PAC ID
3274909643
Group Practice PAC ID
6507294311
Professional Enrollment ID
I20221026002852
Address ID
FL330044348DA1437XHWYX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:6State licenses:1Digital endpointsOther names

1,466 GENERAL PRACTICE in FL

Provider Addresses for ALEKSEY PETROVICH SHUBIN (MD)

  • 4780 SW 64TH AVE STE 103

    DAVIE, FL 333144400

    Phone: (954) 434-1705

    Type: Mailing

  • 2600 S DOUGLAS RD STE 308

    CORAL GABLES, FL 331346134

    Phone:

    Type: Mailing

  • 7541 N STATE ROAD 7

    PARKLAND, FL 330733510

    Phone: (954) 757-0140

    Type: Location

  • 1437 S FEDERAL HWY

    DANIA BEACH, FL 330044348

    Phone: (954) 399-9941

    Fax: (954) 399-9987

    Type: Location

  • 11750 BIRD RD

    MIAMI, FL 331753530

    Phone: (305) 222-5202

    Fax: (305) 485-2962

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 30 Open Payments records for all available years, with a total value of $607.

Total Amount is formed as General ($607) + Research ($0) + Ownership ($0) = $607.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($236).

Total Amount

$607

General + Research + Ownership

Payments

30

Total payment records

General Amount

$607

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-10-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221026002852IGeneral PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes5126$0
36415Insertion of needle into vein for collection of blood sample3520$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1515$0
99214Established patient office or other outpatient visit, 30-39 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 33314)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6507294311View full group profile

Reviews

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Frequently asked questions

Does ALEKSEY PETROVICH SHUBIN (MD) have a public NPI I can cite?
Public records show ALEKSEY PETROVICH SHUBIN (MD) under NPI 1003445602.
Should I treat ALEKSEY PETROVICH SHUBIN (MD) as an active provider?
Patients and plans typically see ALEKSEY PETROVICH SHUBIN (MD) as active in the national extract.
What type of care does ALEKSEY PETROVICH SHUBIN (MD) provide?
ALEKSEY PETROVICH SHUBIN (MD)'s profile centers on General Practice Physician. Clinical services aligned with this taxonomy classification.
What city is tied to ALEKSEY PETROVICH SHUBIN (MD)?
The directory associates ALEKSEY PETROVICH SHUBIN (MD) with Davie, Florida. Check all listed addresses for suites or satellite offices.
Why is information missing for ALEKSEY PETROVICH SHUBIN (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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