Individual provider Active NPI

Aziz U Rahman Shafqat, MD

  • Psychiatry Physician
  • Bronx, NY
National Provider Identifier
1205325362
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
69041 Issued in CT
Practice address
4422 3Rd Ave
Bronx, NY 10457-2545
Phone
(718) 960-6159
NPI assigned
May 4, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X 69041 CT Primary
Student in an Organized Health Care Education/Training Program 390200000X NY

Addresses

Primary practice location

4422 3Rd Ave
Bronx, NY 10457-2545

Mailing address

189 Storrs Rd
Mansfield Center, CT 06250-1683
Phone (860) 456-1311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NC, PA, WV, AL5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20220723000038 NY Practitioner - Psychiatry 6406258300 Reassigns benefits to 2 organizations
I20240501000189 NC Practitioner - Psychiatry 6406258300 Reassigns benefits to 1 organization
I20240731002751 PA Practitioner - Psychiatry 6406258300 Reassigns benefits to 1 organization
I20240805003571 WV Practitioner - Psychiatry 6406258300 Reassigns benefits to 2 organizations
I20250128000153 AL Practitioner - Psychiatry 6406258300 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Care Physicians of Ny PLLCGroup PAC ID 3072933738, 8 clinicians
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians
SBH Physicians PCGroup PAC ID 3072798941, 178 clinicians

Practice addresses (Care Compare)

15715 19TH Ave
Whitestone, NY 11357-3820
Phone (800) 860-3274

257 Brodhead Rd
Bethlehem, PA 18017-8938
Phone (484) 822-5700

4422 3Rd Ave
Bronx, NY 10457-2545
Phone (718) 960-6214

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Penn State Health Medical Group, LLC Multi-Specialty CurrentSince Jan 1, 2025 Accepting new patients
University of Alabama Health Services Foundation, PC. Multi-Specialty CurrentSince Nov 1, 2024 Accepting new patients
St. Luke'S Physician Group, Inc. Multi-Specialty Current Accepting new patients
SBH Physicians, PC CurrentSince Jun 1, 2022 Accepting new patients
St. Luke'S Physician Group Inc Multi-Specialty CurrentSince Jul 15, 2024 Accepting new patients
Reynolds Memorial Hospital, Inc Multi-Specialty CurrentSince Jan 1, 2025 Accepting new patients
SBH Physicians, PC Multi-Specialty CurrentSince Jun 1, 2022 Accepting new patients
Penn State Health Medical Group, LLC Multi-Specialty Current Accepting new patients
Penn State Health Medical Group, LLC Psychiatry CurrentSince Jan 1, 2025 Accepting new patients
MCPC-11, LLC Multi-Specialty CurrentSince Apr 22, 2024 Accepting new patients
West Virginia University Medical Corporation Multi-Specialty CurrentSince Jul 9, 2024 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Jul 15, 2024 Accepting new patients
West Virginia University Medical Corporation CurrentSince Jul 9, 2024 Accepting new patients
St. Barnabas Hospital Past Accepting new patients
Quarry Road Emergency Services P.C. Multi-Specialty Past Accepting new patients

Locations

619 19th St S
Birmingham, AL 35249

35 Memorial Dr
Pinehurst, NC 28374
Phone (910) 715-3376

111 E 210th St
Bronx, NY 10467

4422 3rd Ave
Bronx, NY 10457
Phone (718) 960-3917

421 Chew St
Allentown, PA 18102
Phone (610) 776-4500

257 Brodhead Rd
Bethlehem, PA 18017
Phone (484) 503-3057

2200 Good Hope Rd
Enola, PA 17025
Phone (717) 981-8230

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141

800 Wheeling Ave
Glen Dale, WV 26038
Phone (304) 221-4520

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

930 Chestnut Ridge Rd
Morgantown, WV 26505
Phone (304) 293-5299

1 Medical Park
Wheeling, WV 26003
Phone (304) 243-3124

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: ashafqat18716@sbhny.direct-ci.net

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 3

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": "1525392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1205325362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 STORRS RD",
            "city": "MANSFIELD CENTER",
            "state": "CT",
            "postal_code": "062501683",
            "telephone_number": "860-456-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4422 3RD AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104572545",
            "telephone_number": "718-960-6159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFQAT",
        "first_name": "AZIZ",
        "middle_name": "U RAHMAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-04",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "69041",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.