Individual provider Active NPI

Amjad G Sheikh, M.D.

  • Internal Medicine Physician
  • Carthage, NY
National Provider Identifier
1104851948
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
200248-1 Issued in NY
Practice address
1001 West St
Carthage, NY 13619-9703
Phone
(315) 493-1450
Fax
(345) 493-6705
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 200248-1 NY Primary

Addresses

Primary practice location

1001 West St
Carthage, NY 13619-9703

Mailing address

1001 West St
Carthage, NY 13619-9703
Phone (315) 493-1450

Other identifiers 1

IdentifierTypeStateIssuer
01609874MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20110322000540 NY Practitioner - Internal Medicine 5193908655 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200248-1NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mirza M Ashraf, M.D., P.C. CurrentSince Sep 25, 1995 Accepting new patients

Locations

1001 West St
Carthage, NY 13619
Phone (315) 493-1000

26060 Nys Route 3
Watertown, NY 13601
Phone (315) 782-2211

Interoperability endpoints

  • Direct secure messaging: amjad.sheikh.1@18822.direct.athenahealth.com

Organizations & group practices 1

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104851948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 WEST ST",
            "city": "CARTHAGE",
            "state": "NY",
            "postal_code": "136199703",
            "telephone_number": "315-493-1450",
            "fax_number": "345-493-6705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 WEST ST",
            "city": "CARTHAGE",
            "state": "NY",
            "postal_code": "136199703",
            "telephone_number": "315-493-1450",
            "fax_number": "345-493-6705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEIKH",
        "first_name": "AMJAD",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "200248-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01609874",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carthage, NY

Sources for this page

Verify at the official NPI Registry.