Individual provider Active NPI

Shahzad H Sheikh, M.D.

  • Gastroenterology Physician
  • Anderson, SC
National Provider Identifier
1023009644
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
18377 Issued in SC
Practice address
118 Montgomery Dr
Anderson, SC 29621-3334
Phone
(864) 512-5849
Fax
(864) 512-7575
NPI assigned
Nov 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 18377 SC Primary

Addresses

Primary practice location

118 Montgomery Dr
Anderson, SC 29621-3334

Mailing address

PO Box 100174
Columbia, SC 29202-3174
Phone (864) 512-5849

Other identifiers 2

IdentifierTypeStateIssuer
183777MedicaidSC
100009867OtherSCRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100927000416 SC Practitioner - Gastroenterology 3173650140 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.7 of 100Reported as apm
Quality
89.4
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18377SCMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anmed Health Current Accepting new patients
Anmed Health CurrentSince Mar 1, 2012 Accepting new patients
Consultative Gastroenterolgy, PA Gastroenterology Current Accepting new patients
Anmed Health CurrentSince Mar 1, 2012 Accepting new patients

Locations

1922 McConnell Springs Rd
Ste B
Anderson, SC 29621
Phone (864) 716-6555

800 N Fant St
Ste A
Anderson, SC 29621
Phone (864) 225-5131

118 Montgomery Dr
Anderson, SC 29621
Phone (864) 224-1692

2000 E Greenville St
Fl 3
Anderson, SC 29621
Phone (864) 225-5131

1922 McConnell Springs Rd
#A
Anderson, SC 29621
Phone (864) 716-6050

Networks

  • devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1023009644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100174",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292023174",
            "telephone_number": "864-512-5849",
            "fax_number": "864-512-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 MONTGOMERY DR",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296213334",
            "telephone_number": "864-512-5849",
            "fax_number": "864-512-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEIKH",
        "first_name": "SHAHZAD",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "SC",
            "license": "18377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183777",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "100009867",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

Verify at the official NPI Registry.