Shahina H Jafry, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

36105570 Issued in IL

Practice address

526 W. State Street
Rockford, IL 61101-1214

Phone

(815) 968-9300

Fax

(815) 968-5314

NPI assigned

Feb 6, 2006

Last updated

Jun 29, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Psychiatry

Education

Other, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Rosecrance IncGroup PAC ID 3779656582, 33 clinicians

Geiger Psychiatric Care LLCGroup PAC ID 1557312154, 9 clinicians

Community Health Systems IncGroup PAC ID 3678565116, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Uw Health Hospital, Rockford, IL, CCN 140228

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Geiger Psychiatric Care LLC

  dba Magnolia Mental Health Clinic

  • Psychiatry Physician
  • Loves Park, IL
  • NPI 1043356595
  Medicare reassignment Care Compare group NPD
• Rosecrance Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rockford, IL
  • NPI 1013289446
  Medicare reassignment Care Compare group NPD
• Community Health Systems, Inc.

  dba Beloit Area Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Beloit, WI
  • NPI 1750390670
  Care Compare group
• Rosecrance Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Des Plaines, IL
  • NPI 1861901043
  NPD
• Progressive Chiropractic Wellness & Rehab Centre, P.C.

  • Point of Service
  • Loves Park, IL
  • NPI 1023206265
  NPD (past)

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

• Swedishamerican Hospital

  • General Acute Care Hospital
  • Rockford, IL
  • NPI 1760542732
  Care Compare affiliation

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309305600000",
    "number": "1053383737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 W. STATE STREET",
            "address_2": "PO BOX 813",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611011214",
            "telephone_number": "815-968-9300",
            "fax_number": "815-968-5314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 W. STATE STREET",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611011214",
            "telephone_number": "815-968-9300",
            "fax_number": "815-968-5314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAFRY",
        "first_name": "SHAHINA",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-06",
        "last_updated": "2011-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036105570",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "36105570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036105570",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacque Ruch LCSW, LTD.
• Jacque Ruch LCSW, LTD.
• Anna Maria Jacques, DO
• Mohsin Jafri, D.O.
• Mehwish R Jafry, APRN, CNP
• Mahendra Kumar Jain
• Amrita Jaiprakash, DO
• Aman Jalota, OD
• James Appiah Oral Maxillofacial Surgery
• James David Koepsell MD SC

• Psychiatry Physician in Rockford, IL
• Providers in Rockford, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2011; 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.

Verify at the official NPI Registry.