Individual provider Active NPI

Khalid Shafiq, MD, FACC, FSCAI

  • Cardiovascular Disease Physician
  • Paris, TX
National Provider Identifier
1174527766
Registry record updated Feb 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
K2588 Issued in TX
Practice address
1775 Farm Road 195
Paris, TX 75462-2855
Phone
(903) 739-2700
Fax
(903) 784-1749
NPI assigned
Jun 10, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X K2588 TX
Cardiovascular Disease Physician 207RC0000X K2588 TX Primary
Internal Medicine Physician 207R00000X K2588 TX

Addresses

Primary practice location

1775 Farm Road 195
Paris, TX 75462-2855

Mailing address

1775 Farm Road 195
Paris, TX 75462-2855
Phone (903) 739-2700

Other identifiers 4

IdentifierTypeStateIssuer
130896707MedicaidTX
100049730BMedicaidOK
060052969OtherTXRAILROAD MEDICARE
8CR957OtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20040826000223 TX Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Nuclear MedicinePractitioner - Peripheral Vascular DiseasePractitioner - Internal MedicinePractitioner - Diagnostic Radiology 2365416153 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Khalid Shafiq, M.D. , P.a.Group PAC ID 2466641998, 3 clinicians

Practice addresses (Care Compare)

1775 Farm Rd
Suite 195
Paris, TX 75462-2855
Phone (903) 739-2700

2620 Spur
Suite 139
Paris, TX 75462-2200
Phone (903) 783-1444

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.64 of 100Reported as group
Quality
71.17
Promoting interoperability
76
Improvement activities
40
Cost
68.4

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting12
Pacemaker insertion or repair16
Varicose vein removal18
Leg revascularization (restoring blood flow)22

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Khalid Shafiq, M.D. , P.a. Cardiovascular Disease CurrentSince Jan 10, 2011 Accepting new patients
PRMC Healthcare Group Inc Internal Medicine Past Accepting new patients
Essent PRMC LP Past Accepting new patients

Locations

1055 Clarksville St
Ste 130
Paris, TX 75460
Phone (469) 463-3353

2620 Spur 139
Paris, TX 75462
Phone (903) 739-2700

1775 Farm Road 195
Paris, TX 75462
Phone (903) 517-5431

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/fhir/r4
  • Direct secure messaging: khalid.shafiqmdpa.p1@direct.pariscardiology.nextgenshare.com

Organizations & group practices 3

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 4

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": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424131200000",
    "number": "1174527766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 FARM ROAD 195",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754622855",
            "telephone_number": "903-739-2700",
            "fax_number": "903-784-1749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 FARM ROAD 195",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754622855",
            "telephone_number": "903-739-2700",
            "fax_number": "903-784-1749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFIQ",
        "first_name": "KHALID",
        "credential": "MD, FACC, FSCAI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2015-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "K2588",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "K2588",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K2588",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130896707",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100049730B",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060052969",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8CR957",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, TX

Sources for this page

Verify at the official NPI Registry.