SHEEBA BEN MD
NPI 1518967959
Pediatrics in N Miami Beach, FL

Q: What is Sheeba Ben's NPI number?

The NPI number for Sheeba Ben is 1518967959. It was assigned to this individual provider in the NPPES registry on July 28, 2005.

Q: What is Sheeba Ben's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Sheeba Ben was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.

Active since July 28, 2005PECOS Enrolled

1610 NE MIAMI GARDENS DR, N MIAMI BEACH, FL 33179(305) 940-6016(305) 940-6167 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 8, 2021, May 24, 2018 (2 updates tracked since 2018).

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About Sheeba Ben Md NPPES

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

SHEEBA BEN MD (NPI 1518967959) is an individual pediatrics provider in N Miami Beach, Florida, licensed in New Jersey (25MA07649500) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS and maintains a secondary practice location in Hoboken.

NPPES Registry Identity

NPI1518967959

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameSHEEBA BENCredential: MD

Location Address1610 NE MIAMI GARDENS DRN Miami Beach, FL 33179

Mailing Address1610 Ne Miami Gardens DrN Miami Beach, FL 33179-4900 · (305) 940-6016 · Fax (305) 940-6167

Phone(305) 940-6016

Fax(305) 940-6167

Sole ProprietorYes

Enumeration DateJuly 28, 2005

Last NPPES UpdateJune 23, 20262 updates tracked since enumeration

NPPES CertifiedJune 23, 2026

✔ NPI 1518967959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in NJ · 25MA07649500✔ Licensed in FL · ME133115

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1610 NE MIAMI GARDENS DR, N Miami Beach, FL 33179

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Secondary Practice Location 1

Location 11425 Bloomfield StHoboken, NJ 07030-5505 · Phone (551) 257-7030 · Fax (551) 608-2889

Other Identifiers 1

Medicaid022501200FL

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sheeba Ben Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Sheeba Ben reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Optum Medical Care Of New Jersey PC

1,087 mi

Pediatrics

1 DAKOTA DR
New Hyde Park, NY 11042

Reassigned Medicare billing, New Jersey enrollment
417 clinicians in this Medicare group

NPI 1578665048 (516) 627-1811

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33179 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.13 typical visit price

range $60.92 – $187.05

Typical copayment $24.03 (range $15.23 – $46.76)

Most-billed visit code 99203

Established Patient

$107.17 typical visit price

range $18.99 – $150.24

Typical copayment $26.79 (range $4.74 – $37.56)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARY ANTONETTE MAGLALANG CO M.D.

Pediatrics

1610 NE MIAMI GARDENS DR
N MIAMI BEACH, FL 33179

Miami-Dade County (305) 940-6016

RACHEL MANALO D.O.

Pediatrics

1610 NE MIAMI GARDENS DR
NORTH MIAMI BEACH, FL 33179

Miami-Dade County (305) 940-6016

KATHLEEN MARIE GATTO MD

Pediatrics

1610 NE MIAMI GARDENS DR
NORTH MIAMI BEACH, FL 33179

Miami-Dade County (305) 940-6016

DR. ZACH ZARIR ABUWALLA MD

Pediatrics

1610 NE MIAMI GARDENS DR
NORTH MIAMI BEACH, FL 33179

Miami-Dade County (305) 940-6016

STACY ZIDE MD

Pediatrics

1610 NE MIAMI GARDENS DR
NORTH MIAMI BEACH, FL 33179

Miami-Dade County (305) 940-6001

GINA R COLAIZZO

Nurse Practitioner (Pediatrics)

1610 NE MIAMI GARDENS DR
NORTH MIAMI BEACH, FL 33179

Miami-Dade County (305) 940-6016

FABIANA HELENA IZQUIERDO M.D.

Pediatrics

1610 NE MIAMI GARDENS DR
N MIAMI BEACH, FL 33179

Miami-Dade County (305) 940-6016

MILAGROS BAGUE

Pediatrics

1610 NE MIAMI GARDENS DR
NORTH MIAMI BEACH, FL 33179

Miami-Dade County (305) 940-6016

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 Sheeba Ben's NPI number?

The NPI number for Sheeba Ben is 1518967959. It was assigned to this individual provider in the NPPES registry on July 28, 2005.

Where is Sheeba Ben located?

Sheeba Ben practices at 1610 NE Miami Gardens Dr, N Miami Beach, FL 33179. The listed phone number is (305) 940-6016.

What is Sheeba Ben's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Sheeba Ben enrolled in Medicare?

Yes. Sheeba Ben is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sheeba Ben's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sheeba Ben reassigns Medicare benefits to Optum Medical Care Of New Jersey PC (New Hyde Park, NY). The 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 Sheeba Ben's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sheeba Ben accept?

Health plans from Oscar Health list Sheeba Ben 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 Sheeba Ben was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.