Individual provider Active NPI

Fayaz A Shawl, M.D.

  • Specialist
  • Takoma Park, MD
National Provider Identifier
1265482368
Registry record updated Sep 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D0022639 Issued in MD
Practice address
7620 Carroll Ave
#200
Takoma Park, MD 20912-6387
Phone
(301) 891-8570
Fax
(301) 891-0630
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X D0022639 MD Primary

Addresses

Primary practice location

7620 Carroll Ave
#200
Takoma Park, MD 20912-6387

Mailing address

7620 Carroll Ave
#200
Takoma Park, MD 20912-6387
Phone (301) 891-8570

Other identifiers 2

IdentifierTypeStateIssuer
793851900MedicaidMD
1265482368OtherMNINDIVIDUAL NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20080416000458 DC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Cardiac Surgery 7113005158 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Cardiac Surgery
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11886 Healing Way
Suite 510
Silver Spring, MD 20904-7917
Phone (301) 891-8570

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.61 of 100Reported as individual
Quality
81.66
Improvement activities
40
Cost
79.81

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0022639MDMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Fayaz a. Shawl, MD, PA CurrentSince Dec 27, 2007 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

11886 Healing Way
Ste 510
Silver Spring, MD 20904
Phone (301) 891-8570

7620 Carroll Ave
Ste 200
Takoma Park, MD 20912
Phone (202) 741-2227

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317168000000",
    "number": "1265482368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7620 CARROLL AVE",
            "address_2": "#200",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209126387",
            "telephone_number": "301-891-8570",
            "fax_number": "301-891-0630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7620 CARROLL AVE",
            "address_2": "#200",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209126387",
            "telephone_number": "301-891-8570",
            "fax_number": "301-891-0630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAWL",
        "first_name": "FAYAZ",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2011-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0022639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "793851900",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1265482368",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Takoma Park, MD

Sources for this page

Verify at the official NPI Registry.