Individual provider Active NPI

Arif Shafi, M.D.

  • Pediatrics Physician
  • Chattanooga, TN
National Provider Identifier
1356339972
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
026768 Issued in TN
Practice address
409 Dodds Ave
Chattanooga, TN 37404-3908
Phone
(423) 624-4024
Fax
(423) 624-7048
NPI assigned
Oct 7, 2005
Last updated
Jun 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 026768 TN Primary

Addresses

Primary practice location

409 Dodds Ave
Chattanooga, TN 37404-3908

Mailing address

6918 Shallowford Rd
Suite 206
Chattanooga, TN 37421-6784
Phone (423) 855-2552

Other identifiers 3

IdentifierTypeStateIssuer
3096189MedicaidTN
000677278AMedicaidGA
Q004898MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20040614000405 TN Practitioner - Pediatric Medicine 6406830033 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Chattanooga Hamilton County Hospital Authority CurrentSince May 1, 2010 Accepting new patients
Chattanooga Hamilton County Hospital Authority Pediatrics Current Accepting new patients
Valley Medical Care LLC Pediatrics CurrentSince Feb 22, 2016 Accepting new patients
Chattanooga Hamilton County Hospital Authority Past Accepting new patients
Parkridge Medical Center, Inc. Past Accepting new patients
Erlanger Health Past Accepting new patients

Locations

409 Dodds Ave
Chattanooga, TN 37404
Phone (423) 624-4024

975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499

980 Highway 28
Ste 100
Jasper, TN 37347
Phone (423) 939-1500

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1356339972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6918 SHALLOWFORD RD",
            "address_2": "SUITE 206",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374216784",
            "telephone_number": "423-855-2552",
            "fax_number": "423-855-9041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 DODDS AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374043908",
            "telephone_number": "423-624-4024",
            "fax_number": "423-624-7048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFI",
        "first_name": "ARIF",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-07",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "026768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3096189",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000677278A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q004898",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.