DR. LESTER FREDERICK SHALLOWAY (M.D.) – Internal Medicine Physician, NPI 1083689772

DR. LESTER FREDERICK SHALLOWAY (M.D.) is a healthcare provider. based in Miami, Florida. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 39095 (FL). The NPI Number for DR. LESTER FREDERICK SHALLOWAY (M.D.) is 1083689772

Main info

Male
47 Years Of Experience
Accepts Medicare Assignment
Name
DR. LESTER FREDERICK SHALLOWAY (M.D.)
NPI
1083689772
Phone
(305) 595-5455
Address
10095 N KENDALL DR
Enumeration Date
17 February 2006
Last Update Date
20 October 2022

Doctor Profile

Medical School Name
UNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Secondary Phone
3055955455
Graduation Year
1979 (47 years ago)
PAC ID
6204823909
Group Practice PAC ID
0042456907
Professional Enrollment ID
I20040426001678
Address ID
FL331761797MI10095DRXX401
Telehealth
Yes

Contacts

Secure Messaging
lester.shalloway@phpllc.eclinicaldirectplus.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

12,368 INTERNAL MEDICINE in FL

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Provider Addresses for DR. LESTER FREDERICK SHALLOWAY (M.D.)

  • 10095, Southwest 88th Street, Kendall, Miami-Dade County, Florida, 33176, United States

    SUITE 102

    MIAMI, FL 331761797

    Phone: (305) 595-5455

    Fax: (305) 595-5227

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 126 Open Payments records for all available years, with a total value of $2,388.

Total Amount is formed as General ($2,388) + Research ($0) + Ownership ($0) = $2,388.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Lilly USA, LLC ($320).

Total Amount

$2,388

General + Research + Ownership

Payments

126

Total payment records

General Amount

$2,388

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2004-04-26

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
I20040426001678IInternal MedicineFLTBD

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 minutes12980$0
G0442Annual alcohol misuse screening, 5 to 15 minutes6969$0
99497Advance care planning, first 30 minutes6767$0
96160Administration and interpretation of patient-focused health risk assessment6666$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit4141$0
View full utilization report →

Insurance plans in this area (ZIP 33176)

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Provider's Procedures

DR. LESTER FREDERICK SHALLOWAY (M.D.) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEFL90670Pneumococcal vaccine for injection into muscle2727

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: 0042456907View full group profile
NameSpecialtyState
Nurse PractitionerFL
-FL
Internal Medicine, Pulmonary Disease, Sleep MedicineFL
Physician AssistantFL
Nurse PractitionerFL
Family PracticeFL
Family PracticeFL
Internal MedicineFL
Internal MedicineFL
Internal MedicineFL

Reviews

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Frequently asked questions

Is DR. LESTER FREDERICK SHALLOWAY (M.D.) listed with a National Provider Identifier?
Yes — DR. LESTER FREDERICK SHALLOWAY (M.D.) has NPI 1083689772 on file in the registry.
Is DR. LESTER FREDERICK SHALLOWAY (M.D.) shown as active in public data?
Registry records indicate DR. LESTER FREDERICK SHALLOWAY (M.D.) maintains an active NPI.
What area of care is associated with DR. LESTER FREDERICK SHALLOWAY (M.D.)?
DR. LESTER FREDERICK SHALLOWAY (M.D.)'s record emphasizes Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Florida is DR. LESTER FREDERICK SHALLOWAY (M.D.) registered?
Use Miami, Florida as the headline location for DR. LESTER FREDERICK SHALLOWAY (M.D.) here.
Does DR. LESTER FREDERICK SHALLOWAY (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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