Organization Active NPI

M.S. Shariff, M.D., P.a.

  • Psychiatric/Mental Health Nurse Practitioner
  • Cambridge, MD
National Provider Identifier
1235865189
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
M.S. SHARIFF, M.D., P.A.
Practice address
505 Byrn St
Cambridge, MD 21613-1911
Phone
(410) 221-7770
Fax
(410) 221-7863
NPI assigned
Jul 25, 2022
Organization subpart
Yes
Parent organization
MS SHARIFF MDPAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Authorized official

Name
Carrie F James
Title
Credential Staff
Phone
(410) 228-4902

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

505 Byrn St
Cambridge, MD 21613-1911

Mailing address

105 Aurora St
Cambridge, MD 21613-1903
Phone (410) 228-4902

Other identifiers 1

IdentifierTypeStateIssuer
524000000MedicaidMD

Other names 1

  • MS Shariff MDPA Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050426001308 MD Part B Supplier - Clinic/Group Practice 4284673567 Receives reassigned benefits from 17 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Cambridge, MD

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
M S Shariff MD

Locations

607 Dutchmans Ln
Easton, MD 21601
Phone (410) 822-8447

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1658707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658707200000",
    "number": "1235865189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 AURORA ST",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216131903",
            "telephone_number": "410-228-4902",
            "fax_number": "410-228-3009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 BYRN ST",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216131911",
            "telephone_number": "410-221-7770",
            "fax_number": "410-221-7863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M.S. SHARIFF, M.D., P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MS SHARIFF MDPA",
        "enumeration_date": "2022-07-25",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CREDENTIAL STAFF",
        "authorized_official_telephone_number": "410-228-4902"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "524000000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MS Shariff MDPA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cambridge, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.