NPIMap

Individual provider Active NPI

Ghulam Murtaza Shaikh, M.D.

  • Internal Medicine Physician
  • Garner, NC
National Provider Identifier
1073571733
Registry record updated Dec 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
9501091 Issued in NC
Practice address
171 Mast Dr
Garner, NC 27529-6718
Phone
(919) 771-0503
Fax
(919) 771-0504
NPI assigned
May 3, 2006
Last updated
Dec 23, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 9501091 NC Primary

Addresses

Primary practice location

171 Mast Dr
Garner, NC 27529-6718

Mailing address

171 Mast Dr
Garner, NC 27529-6718
Phone (919) 771-0503

Other identifiers 2

IdentifierTypeStateIssuer
75303OtherNCBLUE CROSS BLUE SHIELD
8975303MedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081021000160 NC Practitioner - Internal Medicine 3971661992 Reassigns benefits to 1 organization
Practice locations: Garner, NC

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

171 Mast Dr
Garner, NC 27529-6718
Phone (919) 771-0503

2701 Pickett Rd
Durham, NC 27705-5688
Phone (919) 419-9600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy18
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions76
Removal of nail tissue1-10
Removal or shaving of skin growth12
Skin biopsy11

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shaikh Medical Clinic, PA Internal Medicine CurrentSince Aug 1, 2023 Accepting new patients
Charles Otis Boyette MD Past Accepting new patients
CLT Opco LLC Past Accepting new patients
Johnston Memorial Quik Med II Past Accepting new patients
Clinton Anesthesia Associates, PA Past Accepting new patients

Locations

171 Mast Dr
Garner, NC 27529
Phone (919) 771-0503

Interoperability endpoints

  • Direct secure messaging: ghulam.shaikh.1@15189.direct.athenahealth.com
  • Direct secure messaging: ghulamshaikh@smcpa.allscriptsdirect.net
  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/70576

Organizations & group practices 5

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.

Hospital & facility affiliations 9

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261526400000",
    "number": "1073571733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 MAST DR",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275296718",
            "telephone_number": "919-771-0503",
            "fax_number": "919-771-0504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 MAST DR",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275296718",
            "telephone_number": "919-771-0503",
            "fax_number": "919-771-0504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAIKH",
        "first_name": "GHULAM",
        "middle_name": "MURTAZA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2009-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "9501091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "75303",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8975303",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garner, NC

Sources for this page

Verify at the official NPI Registry.