Coastal Shoreline Medical Group
NPI 1164398806ActiveOrganization· Internal Medicine· Lakewood Ranch, FL
Internal Medicine in Lakewood Ranch, Florida, registered in NPPES in October 2025. The authorized official on file is Kimberly L. Borsheim, Administrator.
Overview
| NPI | 1164398806 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 10, 2025 |
| Last updated in NPPES | Oct 10, 2025 |
| Certified by provider | Oct 10, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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