Individual provider Active NPI

Sheikh Raza Shahzad, MBBS, MD

  • Internal Medicine Physician
  • Keyser, WV
National Provider Identifier
1124512629
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
31836 Issued in WV
Practice address
1080 New Creek Hwy Ste 1
Keyser, WV 26726-9508
Phone
(304) 788-5057
Fax
(304) 788-5059
NPI assigned
Jun 18, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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 31836 WV Primary

Addresses

Primary practice location

1080 New Creek Hwy Ste 1
Keyser, WV 26726-9508

Mailing address

1080 New Creek Hwy Ste 1
Keyser, WV 26726-9508
Phone (304) 788-5057

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20230915002140 WV Practitioner - Internal Medicine 3173868015 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1080 New Creek Hwy 1
Keyser, WV 26726-9508
Phone (304) 788-5057

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31836WVMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia University Medical Corporation Internal Medicine CurrentSince Jul 31, 2023 Accepting new patients
West Virginia University Medical Corporation CurrentSince Jul 31, 2023 Accepting new patients

Locations

1080 New Creek Hwy
#1
Keyser, WV 26726
Phone (304) 788-5057

1080 New Creek Hwy
Ste 1
Keyser, WV 26726
Phone (304) 788-5057

1080 New Creek Hwy
Keyser, WV 26726
Phone (304) 788-5057

600 Suncrest Town Centre Dr
Morgantown, WV 26505
Phone (304) 598-4478

1200 J D Anderson Dr
Fl 4
Morgantown, WV 26505
Phone (304) 285-2235

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

Organizations & group practices 2

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": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1124512629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 NEW CREEK HWY STE 1",
            "city": "KEYSER",
            "state": "WV",
            "postal_code": "267269508",
            "telephone_number": "304-788-5057",
            "fax_number": "304-788-5059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 NEW CREEK HWY STE 1",
            "city": "KEYSER",
            "state": "WV",
            "postal_code": "267269508",
            "telephone_number": "304-788-5057",
            "fax_number": "304-788-5059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHZAD",
        "first_name": "SHEIKH RAZA",
        "credential": "MBBS, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-18",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "31836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keyser, WV

Sources for this page

Verify at the official NPI Registry.