Individual provider Active NPI

Mujeeb A. Sheikh, MD

  • Cardiovascular Disease Physician
  • Perrysburg, OH
National Provider Identifier
1104080308
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
35.093841 Issued in OH
Practice address
28442 E River Rd
Perrysburg, OH 43551-2795
Phone
(419) 931-0030
Fax
(419) 931-0032
NPI assigned
Jul 16, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35093841 OH
Hospitalist Physician 208M00000X 35093841 OH
Cardiovascular Disease Physician 207RC0000X 35.093841 OH Primary

Addresses

Primary practice location

28442 E River Rd
Perrysburg, OH 43551-2795

Mailing address

3355 Glendale Ave FL 3
Toledo, OH 43614-2426
Phone (419) 931-0030

Other identifiers 1

IdentifierTypeStateIssuer
2969720MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address msheikh30547@epicdirect.promedica.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20090917000005 OH Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 6800942855 Reassigns benefits to 4 organizations
I20200707000261 MI Practitioner - Cardiovascular Disease (Cardiology) 6800942855 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Promedica Northwest Ohio Cardiology Consultants LLCGroup PAC ID 4981752938, shared by 2 NPIs, 84 clinicians

Practice addresses (Care Compare)

2940 N McCord Rd
Toledo, OH 43615-1753
Phone (419) 842-3000

718 N Macomb St
Mercy Memorial Hosp
Monroe, MI 49161-7815
Phone (734) 240-4557

Hospital & facility affiliations

  • Promedica Toledo Hospital Hospital, Toledo, OH, CCN 360068
  • Promedica Charles and Virginia Hickman Hospital Hospital, Adrian, MI, CCN 230005
  • Memorial Hospital Hospital, Fremont, OH, CCN 360156
  • Promedica Monroe Regional Hospital Hospital, Monroe, MI, CCN 230099
  • Magruder Hospital Hospital, Port Clinton, OH, CCN 361314

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting51

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35093841OHMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Central Corporation of Michigan Internal Medicine CurrentSince Aug 1, 2020 Accepting new patients
The Toledo Hospital Internal Medicine CurrentSince Aug 1, 2020 Accepting new patients
Promedica Northwest Ohio Cardiology Consultants, LLC Cardiovascular Disease CurrentSince Aug 1, 2020 Accepting new patients
Consultants in Laboratory Medicine of Greater Toledo Current Accepting new patients
Adena Medical Group LLC Internal Medicine CurrentSince Jan 1, 2020 Accepting new patients
The Toledo Hospital Current Accepting new patients
Promedica Northwest Ohio Cardiology Consultants, LLC Cardiovascular Disease CurrentSince Aug 1, 2020 Accepting new patients
The Toledo Hospital CurrentSince Aug 1, 2020 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

5640 N Adrian Hwy
Ste A
Adrian, MI 49221
Phone (517) 577-0525

770 Riverside Ave
Ste 106
Adrian, MI 49221
Phone (517) 266-0525

730 N Macomb St
Monroe, MI 48162
Phone (734) 240-1760

718 N Macomb St
Monroe, MI 48162
Phone (734) 212-3097

730 N Macomb St
Ste 228
Monroe, MI 48162
Phone (734) 242-7060

500 E Pottawatamie St
Tecumseh, MI 49286
Phone (517) 266-0525

200 E Russell Rd
Unit C
Tecumseh, MI 49286
Phone (517) 424-3883

1037 Conneaut Ave
Ste 202
Bowling Green, OH 43402
Phone (419) 354-0104

715 S Taft Ave
Ste 195
Fremont, OH 43420
Phone (419) 333-9533

100 Madison Ave
Toledo, OH 43604
Phone (567) 585-1964

2940 N McCord Rd
Toledo, OH 43615
Phone (419) 842-3000

2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111

2940 N McCord Rd
#100
Toledo, OH 43615
Phone (419) 842-3000

12340 State Route 104
Waverly, OH 45690
Phone (740) 941-5180

Interoperability endpoints

  • Direct secure messaging: mujeeb.sheikh@hca6.eclinicaldirectplus.com
  • Direct secure messaging: msheikh30547@direct.promedica.org

Organizations & group practices 9

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": "1216166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1104080308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 GLENDALE AVE FL 3",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436142426",
            "telephone_number": "419-931-0030",
            "fax_number": "419-931-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28442 E RIVER RD",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435512795",
            "telephone_number": "419-931-0030",
            "fax_number": "419-931-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEIKH",
        "first_name": "MUJEEB",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-16",
        "last_updated": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35093841",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OH",
            "license": "35093841",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35.093841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2969720",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "msheikh30547@epicdirect.promedica.org",
            "affiliation": "N",
            "address_1": "100 Madison Ave",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436041516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Perrysburg, OH

Sources for this page

Verify at the official NPI Registry.