NPIMap

Individual provider Active NPI

Azhar Sheikh, MD

  • Internal Medicine Physician
  • Cleveland, TN
National Provider Identifier
1013972538
Registry record updated May 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD28412 Issued in TN
Practice address
1060 William Way NW
Cleveland, TN 37312-4369
Phone
(423) 478-1050
Fax
(423) 478-1075
NPI assigned
Apr 18, 2006
Last updated
May 2, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD28412 TN Primary

Addresses

Primary practice location

1060 William Way NW
Cleveland, TN 37312-4369

Mailing address

1060 William Way NW
Cleveland, TN 37312-4369
Phone (423) 478-1050

Other identifiers 1

IdentifierTypeStateIssuer
3804910MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050817000332 TN Practitioner - Internal Medicine 2365472529 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Cleveland Medical Associates, PLLCGroup PAC ID 7113952938, 11 clinicians
Bradley Polk Walk in ClinicGroup PAC ID 0547404931, 8 clinicians
Bradley Physician Services, LLCGroup PAC ID 8123563392, 77 clinicians

Practice addresses (Care Compare)

1060 William Way
Cleveland, TN 37312-5825

1060 William Way NW
Cleveland, TN 37312-4369

1060 William Way NW
Cleveland, TN 37312-5825
Phone (423) 478-1050

119 White Water Dr
Ocoee, TN 37361-3645
Phone (423) 299-9435

2800 Westside Dr NW
Cleveland, TN 37312-3501
Phone (423) 728-1659

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.07 of 100Reported as apm
Quality
73.89
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD28412TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Physician Services PC Internal Medicine CurrentSince May 1, 2010 Accepting new patients
Cleveland Medical Associates, PLLC Internal Medicine CurrentSince Sep 1, 2005 Accepting new patients
Gastrointestinal Associates of Cleveland, PC Current Accepting new patients
App of Tennessee HM, PLLC CurrentSince Nov 11, 2019 Accepting new patients
Bradley Physician Services, LLC Internal Medicine CurrentSince Aug 1, 2024 Accepting new patients
Bradley County Nursing Home Past Accepting new patients

Locations

1060 William Way NW
Cleveland, TN 37312
Phone (423) 475-1050

2305 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 559-6000

2700 Westside Dr NW
Ste 204
Cleveland, TN 37312
Phone (423) 476-3711

2800 Westside Dr NW
Cleveland, TN 37312
Phone (423) 339-4100

1 Medical Center Blvd
Cookeville, TN 38501
Phone (931) 783-2334

119 White Water Dr
Ocoee, TN 37361
Phone (423) 299-9435

2835 Highway 231 N
Shelbyville, TN 37160
Phone (931) 685-5433

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

Interoperability endpoints

  • Direct secure messaging: azhar.sheikh@cmapllc.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/EEIHBD
  • FHIR API: https://fhir4.healow.com/fhir/r4/EEIHBD/Endpoint/EEIHBD
  • FHIR API: https://fhir4.healow.com/fhir/r4/IGDIDD/Endpoint/IGDIDD

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Bradley Polk Walk in ClinicOcoee, TN, CCN 448999 Rural health clinic 5% Or Greater Direct Ownership Interest (40%)
Corporate Officer (40%)
Operational/Managerial Control (40%)		 Jan 1, 2014
Jan 1, 2014
Jan 1, 2014

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462147200000",
    "number": "1013972538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 WILLIAM WAY NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373124369",
            "telephone_number": "423-478-1050",
            "fax_number": "423-478-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 WILLIAM WAY NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373124369",
            "telephone_number": "423-478-1050",
            "fax_number": "423-478-1075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEIKH",
        "first_name": "AZHAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2016-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD28412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3804910",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TN

Sources for this page

Verify at the official NPI Registry.