Ihab M Shafik, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

199994 Issued in NY

Practice address

18 Limestone Dr
Suite 5
Williamsville, NY 14221-8602

Phone

(716) 632-1400

Fax

(716) 632-5316

NPI assigned

Jul 28, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• General Physician, PC

  • General Practice Physician
  • Dunkirk, NY
  • NPI 1093959322
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281657600000",
    "number": "1225038581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 LIMESTONE DR",
            "address_2": "SUITE 5",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142218602",
            "telephone_number": "716-632-1400",
            "fax_number": "716-632-5316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 LIMESTONE DR",
            "address_2": "SUITE 5",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142218602",
            "telephone_number": "716-632-1400",
            "fax_number": "716-632-5316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFIK",
        "first_name": "IHAB",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2010-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "199994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01657414",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHA",
            "identifier": "04-07474",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00010162502",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNOW",
            "identifier": "000523802002",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Marie Severson, MD
• Alexis Olivia Seward, FNP-BC
• Gail A Sexton, LPN
• Katherine Seybolt, RPH
• Lauren Seymour, PA-C
• Faisal M Shah, MD
• Siddhartha S Shah, M.D.
• Arooj Maqbool Shaikh, MD
• Stanley Shainbrown, DDS
• Jordan Shalke, PA-C

• Internal Medicine Physician in Williamsville, NY
• Providers in Williamsville, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.