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LESLIE SHAWN D.O. P.A.
NPI 1295024636
Family Medicine - Adult Medicine in Pembroke Pines, FL

Active since April 06, 2011CLIA 10D0956149 · Waiver
400 N HIATUS RD, SUITE 201, PEMBROKE PINES, FL 33026(954) 442-3434(954) 441-4425 Get Directions Write a Review

NPPES record last updated: April 6, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Leslie Shawn D.o. P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LESLIE SHAWN D.O. P.A. (NPI 1295024636) is a healthcare organization registered as an adult medicine in Pembroke Pines, Florida and active in the NPI registry since April 2011. The organization holds a CLIA Waiver certificate valid through January 20, 2027 and lists Leslie Gordon Shawn, Physician, as its authorized official.

NPPES Registry Identity

NPI1295024636
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NameLESLIE SHAWN D.O. P.A.
Location Address400 N HIATUS RD, SUITE 201Pembroke Pines, FL 33026-5214
Mailing Address400 N Hiatus Rd, Suite 201Pembroke Pines, FL 33026-5214 · (954) 442-3434 · Fax (954) 441-4425
Phone(954) 442-3434
Fax(954) 441-4425
Organization SubpartNo
Authorized OfficialLeslie Gordon ShawnPhysician · (954) 442-3434
Enumeration DateApril 6, 2011
✔ NPI 1295024636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
400 N HIATUS RD, Pembroke Pines, FL 33026
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Leslie Shawn D.o. P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Leslie Shawn D.O. P.A., which bills Medicare for the services this clinician delivers.

Clinician (1)

Leslie Shawn, DO
General Practice
NPI 1922057009
400 NORTH HIATUS ROAD SUITE 201
Pembroke Pines, FL 33026
(954) 442-3434
✔ PECOS✔ Accepts Medicare0.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0956149

Leslie Shawn Do · Pembroke Pines, FL
Active · expires Jan 20, 2027
CLIA Number10D0956149
Laboratory TypePhysician Office
Certificate Effective DateJanuary 21, 2025
Certificate Expiration DateJanuary 20, 2027
Laboratory DirectorLeslie Shawn
Laboratory Phone(954) 442-3434
Laboratory LocationLeslie Shawn Do400 N Hitatus Road Suite 201, Pembroke Pines, FL 33024
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leslie Shawn D.O. P.A.'s NPI number?

The NPI number for Leslie Shawn D.O. P.A. is 1295024636. It was assigned to this organization in the NPPES registry on April 6, 2011.

Where is Leslie Shawn D.O. P.A. located?

Leslie Shawn D.O. P.A. is located at 400 N Hiatus Rd Suite 201, Pembroke Pines, FL 33026. The listed phone number is (954) 442-3434.

What is Leslie Shawn D.O. P.A.'s specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Leslie Shawn D.O. P.A. enrolled in Medicare?

Yes. Leslie Shawn D.O. P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Leslie Shawn D.O. P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Practice) reassigns their Medicare billing to Leslie Shawn D.O. P.A.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Leslie Shawn D.O. P.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0956149) is associated with this NPI, valid through January 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Leslie Shawn D.O. P.A. accept?

Health plans from AvMed list Leslie Shawn D.O. P.A. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Leslie Shawn D.O. P.A. was last updated on April 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.