Organization Active NPI

Mohammad T Sheikh MD PA

  • Family Medicine Physician
  • Lauderhill, FL
National Provider Identifier
1396939989
Registry record updated Mar 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME86678 Issued in FL
Legal business name
MOHAMMAD T SHEIKH MD PA
Practice address
1168 N State Road 7
Lauderhill, FL 33313-6630
Phone
(954) 581-7700
Fax
(954) 581-7090
NPI assigned
Aug 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2018

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

Authorized official

Name
Mohammad Tayyab SheikhNPI 1437205796
Title
MD
Phone
(954) 581-7700

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME86678 FL Primary

Addresses

Primary practice location

1168 N State Road 7
Lauderhill, FL 33313-6630

Mailing address

1168 N State Road 7
Lauderhill, FL 33313
Phone (954) 581-7700

Other identifiers 2

IdentifierTypeStateIssuer
1437205796OtherFLNPI (INDIVDUAL)
266715100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050901000122 FL Part B Supplier - Clinic/Group Practice 3274565098 Receives reassigned benefits from 3 practitioners
Practice locations: Coral Springs, FL; Lauderhill, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520294400000",
    "number": "1396939989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1168 N STATE ROAD 7",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "33313",
            "telephone_number": "954-581-7700",
            "fax_number": "954-581-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1168 N STATE ROAD 7",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333136630",
            "telephone_number": "954-581-7700",
            "fax_number": "954-581-7090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMMAD T SHEIKH MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-28",
        "last_updated": "2018-03-06",
        "status": "A",
        "authorized_official_last_name": "SHEIKH",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "TAYYAB",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "954-581-7700"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME86678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI (INDIVDUAL)",
            "identifier": "1437205796",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266715100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderhill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.