Organization Active NPI

Shifa Pediatric Clinic,PLLC

  • Pediatrics Physician
  • Apex, NC
National Provider Identifier
1326326133
Registry record updated Jul 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
SHIFA PEDIATRIC CLINIC,PLLC
Practice address
1001 W Williams St Ste 102
Apex, NC 27502-3978
Phone
(919) 300-7726
Fax
(919) 300-7688
NPI assigned
Jul 27, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2011

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

Authorized official

Name
Ayesha SultanaNPI 1093909137
Title
Physician
Phone
(919) 337-7350

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

1001 W Williams St Ste 102
Apex, NC 27502-3978

Mailing address

5509 Southern Cross Ave
Raleigh, NC 27606-4015

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2028082Shifa Pediatric Clinic, PLLC1001 W Williams St, Apex, NC 27502Certificate of waiverAug 8, 2027

National Provider Directory

National Provider Directory

Locations

1001 W Williams St
Ste 102
Apex, NC 27502
Phone (919) 363-7576

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3903/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1311724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311724800000",
    "number": "1326326133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5509 SOUTHERN CROSS AVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276064015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W WILLIAMS ST STE 102",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275023978",
            "telephone_number": "919-300-7726",
            "fax_number": "919-300-7688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIFA PEDIATRIC CLINIC,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-27",
        "last_updated": "2011-07-27",
        "status": "A",
        "authorized_official_last_name": "SULTANA",
        "authorized_official_first_name": "AYESHA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "919-337-7350"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apex, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.