Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Renae Shibata, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1275065518

Renae Shibata, MD is an Obstetrics/Gynecology in Orlando, Florida. Graduated from Oakland Univ, William Beaumont School of Medicine in 2017, 9 years ago. Practices with Orlando Health Medical Group Inc, a 2,137-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and New York.

Years since qualifying
9
Trained at
Oakland Univ, William Beaumont School of Medicine
Licensed in
FL, NY
In the registry since
2017
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

21 Columbia St Ste 101
Orlando, FL 32806-1133
Phone: (321) 841-6060
Fax: (321) 841-2442
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 300 Community Dr, Manhasset, NY 11030-3816 — (516) 562-4429

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence ME163067 (FL)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 309052-01 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1275065518
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 28, 2017
Last updated in NPPESSeptember 8, 2023
Certification dateSeptember 8, 2023
Mailing address21 Columbia St Ste 101, Orlando, FL 32806-1133

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolOAKLAND UNIV, WILLIAM BEAUMONT SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Orlando Health Medical Group Inc — 2137 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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