Active NPI
Shayasta Shaheen Mufti
- Internal Medicine Physician
- Bear, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- C1-0009948
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 308133 | LA | MD | Internal Medicine Physician |
| TD121031 | ME | MD | Internal Medicine Physician |
| 2018-00579 | NC | MD | Internal Medicine Physician |
| 292356 | NY | MD | Internal Medicine Physician |
| 0101251621 | VA | MD | Internal Medicine Physician |
| MD450561 | PA | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-County Hospitalists, LLC | Internal Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Fredericksburg, LLC | Internal Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Virginia LLC | Internal Medicine | Current | 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
- 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.
-
- Internal Medicine Physician
- Fredericksburg, VA
- NPI 1447577572
-
- Internal Medicine Physician
- Winchester, VA
- NPI 1770756991
-
- Internal Medicine Physician
- Phoenixville, PA
- NPI 1730518564
-
- Hospitalist Physician
- Newark, DE
- NPI 1245474329
-
- Hospitalist Physician
- Wilmington, DE
- NPI 1235447889
Internal Medicine
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.