Active NPI
Muhammad Shabbir Ijaz, MD
- Emergency Medicine Physician
- Fort Lauderdale, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 2018023724
- Practice address
- 1600 S Andrews Ave
Fort Lauderdale, FL 33316-2510 - Phone
- (954) 876-2590
- NPI assigned
- Jul 1, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | 2018023724 | MO | Primary |
Addresses
Primary practice location
1600 S Andrews Ave
Fort Lauderdale, FL 33316-2510
Mailing address
200 Corporate Blvd
Lafayette, LA 70508-3870
Phone (800) 893-9698
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3100 Oak Grove Rd
Poplar Bluff, MO 63901-1573
Phone (573) 776-9290
Hospital & facility affiliations
- Poplar Bluff Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 50.12 of 100
- Quality
- 2.83
- Improvement activities
- 40
- Cost
- 82.51
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Butler Physician Services, LLC | Current | Accepting new patients | |
| Missouri HB Medical Services, LLC | Emergency Medicine | Current | Accepting new patients |
Locations
200 Corporate Blvd
Lafayette, LA 70508
3100 Oak Grove Rd
Rombauer, MO 63901
Phone (573) 776-2000
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 and National Provider Directory roles.
-
- Emergency Medicine Physician
- Poplar Bluff, MO
- NPI 1922868462
-
- Internal Medicine Physician
- Poplar Bluff, MO
- NPI 1982056545
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Poplar Bluff, MO
- NPI 1700831724
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722211200000",
"number": "1306298377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 CORPORATE BLVD",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705083870",
"telephone_number": "800-893-9698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 S ANDREWS AVE",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333162510",
"telephone_number": "954-876-2590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IJAZ",
"first_name": "MUHAMMAD SHABBIR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-07-01",
"last_updated": "2024-07-29",
"certification_date": "2024-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MO",
"license": "2018023724",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.