Individual provider Active NPI

Nimra Shafiq, M.D.

  • Family Medicine Physician
  • Lockport, NY
National Provider Identifier
1053055764
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
338669 Issued in NY
Practice address
6009 S Transit Rd Ste 400
Lockport, NY 14094-6371
Phone
(716) 433-8751
NPI assigned
Apr 27, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 338669 NY Primary
Family Medicine Physician 207Q00000X 57.253046 OH

Addresses

Primary practice location

6009 S Transit Rd Ste 400
Lockport, NY 14094-6371

Mailing address

6009 S Transit Rd Ste 400
Lockport, NY 14094-6371
Phone (716) 433-8751

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20250820003440 NY Practitioner - Family Practice 2163805391 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
General Physician PCGroup PAC ID 9537213079, 488 clinicians

Practice addresses (Care Compare)

3898 Vineyard Dr
Dunkirk, NY 14048-3559
Phone (716) 710-8266

6009 S Transit Rd
Suite 300
Lockport, NY 14094-6307
Phone (716) 656-4077

Hospital & facility affiliations

  • Kaleida Health Hospital, Buffalo, NY, CCN 330005
  • Mount St. Mary'S Hospital & Health Center Hospital, Lewiston, NY, CCN 330188

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
General Physician, PC CurrentSince Sep 1, 2025 Accepting new patients
Mercy Health Physicians Youngstown, LLC Family Medicine PastSince May 1, 2022 Accepting new patients
Mercy Health Physicians Youngstown LLC PastSince May 1, 2022 Accepting new patients

Locations

726 Exchange St
Ste 516
Buffalo, NY 14210

3898 Vineyard Dr
Dunkirk, NY 14048
Phone (716) 363-1515

6009 S Transit Rd
Ste 400
Lockport, NY 14094
Phone (716) 433-8751

Interoperability endpoints

  • Direct secure messaging: nshafiq@gppc.medentdirect.com

Organizations & group practices 3

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 7

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": "1651017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1053055764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6009 S TRANSIT RD STE 400",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140946371",
            "telephone_number": "716-433-8751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6009 S TRANSIT RD STE 400",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140946371",
            "telephone_number": "716-433-8751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFIQ",
        "first_name": "NIMRA",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-27",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "338669",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "57.253046",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lockport, NY

Sources for this page

Verify at the official NPI Registry.