NPIMap

Individual provider Active NPI

Syed Imran Mobin Shaukat

  • Neurology Physician
  • Bel Air, MD
National Provider Identifier
1316069883
Registry record updated Sep 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
D0056679 Issued in MD
Practice address
520 Upper Chesapeake Dr
Suite 313
Bel Air, MD 21014-4339
Phone
(443) 643-3335
NPI assigned
Apr 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X D0056679 MD Primary
Clinical Neurophysiology Physician 2084N0600X D0056679 MD

Addresses

Primary practice location

520 Upper Chesapeake Dr
Suite 313
Bel Air, MD 21014-4339

Mailing address

1085 Lilly Gate LN
Bel Air, MD 21014-2705
Phone (410) 420-0383

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050321000806 MD Practitioner - NeurologyPractitioner - Neuropsychiatry 4981659158 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Neuropsychiatry
Education
Yale University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Harford Neurology Associates PAGroup PAC ID 0143240358, 3 clinicians

Practice addresses (Care Compare)

520 Upper Chesapeake Dr
Suite 208
Bel Air, MD 21014-4392
Phone (443) 643-3335

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.54 of 100Reported as group
Quality
46.97
Improvement activities
40
Cost
94.83

Merit-based Incentive Payment System (MIPS)

Final score
78.57 of 100Reported as group
Quality
59.34
Promoting interoperability
89
Improvement activities
40
Cost
75.04

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0056679MDMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Harford Neurology Associates P.a. Neurology CurrentSince Nov 1, 2005 Accepting new patients
Union Hospital of Cecil County CurrentSince Jul 1, 2018 Accepting new patients
Union Hospital of Cecil County Neurology CurrentSince Jul 1, 2018 Accepting new patients
Saint Joseph Medical Center , Inc. Past Accepting new patients
Towson Neurology Associates PA Past Accepting new patients

Locations

520 Upper Chesapeake Dr
Ste 313
Bel Air, MD 21014
Phone (443) 643-3335

520 Upper Chesapeake Dr
Ste 208
Bel Air, MD 21014
Phone (443) 643-3335

106 Bow St
Elkton, MD 21921
Phone (410) 298-2000

7601 Osler Dr
Towson, MD 21204
Phone (410) 337-1150

Interoperability endpoints

  • Direct secure messaging: sshaukat149173@direct.umm.edu

Organizations & group practices 5

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.

Hospital & facility affiliations 6

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": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346803200000",
    "number": "1316069883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1085 LILLY GATE LN",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210142705",
            "telephone_number": "410-420-0383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 UPPER CHESAPEAKE DR",
            "address_2": "SUITE 313",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144339",
            "telephone_number": "443-643-3335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAUKAT",
        "first_name": "SYED IMRAN",
        "middle_name": "MOBIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2012-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MD",
            "license": "D0056679",
            "primary": true
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "MD",
            "license": "D0056679",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

Verify at the official NPI Registry.