Individual provider Active NPI

Jazab Ali Sheikh, M.D.

  • Family Medicine Physician
  • Smyrna, DE
National Provider Identifier
1043655186
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C1-0024863 Issued in DE
Practice address
401 N Carter Rd Ste 201
Smyrna, DE 19977-1281
Phone
(302) 514-3371
Fax
(302) 653-3876
NPI assigned
May 2, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C1-0024863 DE Primary

Addresses

Primary practice location

401 N Carter Rd Ste 201
Smyrna, DE 19977-1281

Mailing address

640 S. State Street
Mail Code 3055
Dover, DE 19901-3530
Phone (302) 480-1688

Other names 1

  • Jazab Ali Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, DE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160707001622 DC Practitioner - HospitalistPractitioner - Family Practice 8820232705 Reassigns benefits to 2 organizations
I20220608001688 DE Practitioner - Family Practice 8820232705 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bayhealth Medical Center, IncGroup PAC ID 1658364740, shared by 16 NPIs, 399 clinicians

Practice addresses (Care Compare)

1074 S State St
Bayhealth Family Medicine Dover
Dover, DE 19901-6925
Phone (302) 735-3214

401 N Carter Rd
201 Bayhealth Family Medicine Smyrna
Smyrna, DE 19977-1213
Phone (302) 514-3371

Hospital & facility affiliations

  • Bayhealth Medical Center, Kent Campus Hospital, Dover, DE, CCN 080004

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bayhealth Medical Center, Inc Family Medicine CurrentSince Aug 1, 2022 Accepting new patients
Bayhealth Medical Center, Inc. CurrentSince Aug 20, 2024 Accepting new patients
Bayhealth Medical Center, Inc CurrentSince Aug 1, 2022 Accepting new patients
Mdics Rehabilitative Services LLC Family Medicine CurrentSince Jul 1, 2016 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Bayhealth Medical Center, Inc Past Accepting new patients
Grant County Public Hospital District 1 Family Medicine PastSince Jul 15, 2019 Accepting new patients

Locations

1074 S State St
Dover, DE 19901
Phone (302) 678-8100

640 S State St
Dover, DE 19901
Phone (302) 744-4700

640 S State St
#3055
Dover, DE 19901
Phone (302) 480-1688

100 Wellness Way
Milford, DE 19963
Phone (302) 422-3311

401 N Carter Rd
Ste 201
Smyrna, DE 19977
Phone (302) 514-3371

401 N Carter Rd
Smyrna, DE 19977
Phone (302) 653-2010

9211 Stuart Ln
Clinton, MD 20735
Phone (301) 868-3600

2131 Davidsonville Rd
Crofton, MD 21114
Phone (301) 261-3637

6934 Aviation Blvd
Ste B
Glen Burnie, MD 21061
Phone (443) 534-0575

2601 Bel Pre Rd
Silver Spring, MD 20906
Phone (301) 598-6000

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1367452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1043655186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 S. STATE STREET",
            "address_2": "MAIL CODE 3055",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199013530",
            "telephone_number": "302-480-1688",
            "fax_number": "302-480-9807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N CARTER RD STE 201",
            "city": "SMYRNA",
            "state": "DE",
            "postal_code": "199771281",
            "telephone_number": "302-514-3371",
            "fax_number": "302-653-3876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEIKH",
        "first_name": "JAZAB",
        "middle_name": "ALI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-02",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C1-0024863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAZAB",
            "last_name": "ALI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Smyrna, DE

Sources for this page

Verify at the official NPI Registry.