DR. SHAWNETTE SIMONE SADDLER (M.D.) – Internal Medicine Physician, NPI 1083858930

DR. SHAWNETTE SIMONE SADDLER (M.D.) is a healthcare provider. based in Coral springs, Florida. specializing in INTERNAL MEDICINE, PEDIATRIC MEDICINE. They hold the professional credentials M.D.. They hold a License No. ME109668 (FL). The NPI Number for DR. SHAWNETTE SIMONE SADDLER (M.D.) is 1083858930

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. SHAWNETTE SIMONE SADDLER (M.D.)
NPI
1083858930
Phone
(954) 320-3390
Address
9750 NW 33RD ST STE 202
Enumeration Date
22 April 2009
Last Update Date
28 March 2019

Doctor Profile

Medical School Name
TUFTS UNIVERSITY SCHOOL OF DENTAL MEDICINE
Secondary Phone
9543554345
Graduation Year
2007 (19 years ago)
PAC ID
7315118346
Group Practice PAC ID
3577472422
Professional Enrollment ID
I20110922000266
Address ID
FL333162510FT1600XAVEX444
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

12,368 INTERNAL MEDICINE in FL

Provider Addresses for DR. SHAWNETTE SIMONE SADDLER (M.D.)

  • 9750 NW 33RD ST STE 202

    CORAL SPRINGS, FL 330654081

    Phone: (954) 320-3390

    Fax: (954) 340-4557

    Type: Location

  • Northwest 49th Street, Fort Lauderdale, Broward County, Florida, 33309, United States

    FORT LAUDERDALE, FL 333093750

    Phone: (954) 320-3390

    Fax: (954) 340-4557

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 60 Open Payments records for all available years, with a total value of $1,001.

Total Amount is formed as General ($1,001) + Research ($0) + Ownership ($0) = $1,001.

Last reported payment date: 2024-11-18 • Largest payer in this snapshot: Lilly USA, LLC ($497).

Total Amount

$1,001

General + Research + Ownership

Payments

60

Total payment records

General Amount

$1,001

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-18

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: 2011-09-22

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
I20110922000266IInternal 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
99214Established patient office or other outpatient visit, 30-39 minutes14974$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit4646$0
99204New patient office or other outpatient visit, 45-59 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 33065)

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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: 3577472422View full group profile

Reviews

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Frequently asked questions

What is the standard ID for DR. SHAWNETTE SIMONE SADDLER (M.D.) in the U.S.?
In the U.S., DR. SHAWNETTE SIMONE SADDLER (M.D.) is identified by NPI 1083858930.
Quick check: is DR. SHAWNETTE SIMONE SADDLER (M.D.) active?
Public NPPES data shows DR. SHAWNETTE SIMONE SADDLER (M.D.) with an active NPI status right now.
What does the directory say DR. SHAWNETTE SIMONE SADDLER (M.D.) does?
Insurance directories may phrase it differently, but here DR. SHAWNETTE SIMONE SADDLER (M.D.) maps to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DR. SHAWNETTE SIMONE SADDLER (M.D.) in Coral Springs, Florida?
For routing, start with Coral Springs, Florida for DR. SHAWNETTE SIMONE SADDLER (M.D.), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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