Individual provider Active NPI

Shayasta Shaheen Mufti

  • Internal Medicine Physician
  • Bear, DE
National Provider Identifier
1093973687
Registry record updated May 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C1-0009948 Issued in DE
Practice address
1227 King James CT
Bear, DE 19701-4743
Phone
(813) 420-8756
NPI assigned
May 30, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2019

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD450561 PA
Internal Medicine Physician 207R00000X 2018-00579 NC
Hospitalist Physician 208M00000X MD450561 PA
Internal Medicine Physician 207R00000X C1-0009948 DE Primary
Internal Medicine Physician 207R00000X 308133 LA
Internal Medicine Physician 207R00000X 292356 NY
Internal Medicine Physician 207R00000X TD121031 ME
Internal Medicine Physician 207R00000X 0101251621 VA

Addresses

Primary practice location

1227 King James CT
Bear, DE 19701-4743

Mailing address

1227 King James CT
Bear, DE 19701-4743
Phone (813) 420-8756

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DE, PA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20120706000590 VA Practitioner - Internal Medicine 1557526027 Reassigns benefits to 2 organizations
I20120829000687 DE Practitioner - Internal MedicinePractitioner - Hospitalist 1557526027 Reassigns benefits to 1 organization
I20140421000603 PA Practitioner - HospitalistPractitioner - Internal Medicine 1557526027 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
308133LAMDInternal Medicine Physician
TD121031MEMDInternal Medicine Physician
2018-00579NCMDInternal Medicine Physician
292356NYMDInternal Medicine Physician
0101251621VAMDInternal Medicine Physician
MD450561PAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-County Hospitalists, LLC Internal Medicine CurrentSince Feb 1, 2014 Accepting new patients
Hospitalist Medicine Physicians of Fredericksburg, LLC Internal Medicine CurrentSince Sep 1, 2019 Accepting new patients
Hospitalist Medicine Physicians of Virginia LLC Internal Medicine CurrentSince Sep 1, 2019 Accepting new patients
South Sound Inpatient Physicians, PLLC Internal Medicine Past Accepting new patients

Locations

8835 Germantown Ave
Philadelphia, PA 19118
Phone (215) 248-8227

507 Kimberton Rd
Phoenixville, PA 19460
Phone (610) 243-9117

8260 Atlee Rd
Mechanicsvlle, VA 23116
Phone (804) 264-6000

5801 Bremo Rd
Richmond, VA 23226
Phone (804) 281-8220

759 S Main St
Woodstock, VA 22664
Phone (540) 459-1100

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557360000000",
    "number": "1093973687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1227 KING JAMES CT",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197014743",
            "telephone_number": "813-420-8756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1227 KING JAMES CT",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197014743",
            "telephone_number": "813-420-8756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUFTI",
        "first_name": "SHAYASTA",
        "middle_name": "SHAHEEN",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-30",
        "last_updated": "2019-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD450561",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2018-00579",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "PA",
            "license": "MD450561",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DE",
            "license": "C1-0009948",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "308133",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "292356",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "TD121031",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101251621",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bear, DE

Sources for this page

Verify at the official NPI Registry.