Active NPI
Ilyas Ahmed Shaikh, MD
- Neurology Physician
- Mobile, AL
National Provider Identifier
1023099645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 20842
- Practice address
- 4325 Downtowner Loop N
Mobile, AL 36609-5501 - Phone
- (251) 460-9095
- Fax
- (251) 460-4666
- NPI assigned
- Nov 10, 2005
- Last updated
- Jan 16, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 20842 | AL | Primary |
| General Practice Physician | 208D00000X | 20842 | AL |
Addresses
Primary practice location
4325 Downtowner Loop N
Mobile, AL 36609-5501
Mailing address
4325 Downtowner Loop N
Mobile, AL 36609-5501
Phone (251) 460-9095
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4325 Downtowner Loop N
Mobile, AL 36609-5501
Phone (251) 460-9095
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20842 | AL | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Health Systems, Inc | Neurology | Current | Accepting new patients |
Locations
4325 Downtowner Loop N
Mobile, AL 36609
Phone (251) 460-9095
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421366400000",
"number": "1023099645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4325 DOWNTOWNER LOOP N",
"city": "MOBILE",
"state": "AL",
"postal_code": "366095501",
"telephone_number": "251-460-9095",
"fax_number": "251-288-5656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4325 DOWNTOWNER LOOP N",
"city": "MOBILE",
"state": "AL",
"postal_code": "366095501",
"telephone_number": "251-460-9095",
"fax_number": "251-460-4666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAIKH",
"first_name": "ILYAS",
"middle_name": "AHMED",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-10",
"last_updated": "2015-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "AL",
"license": "20842",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "AL",
"license": "20842",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.