NPIMap

Individual provider Active NPI

Azra Irfan Shaikh, MBBS

  • Internal Medicine Physician
  • Hershey, PA
National Provider Identifier
1396976114
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD446383 Issued in PA
Practice address
1150 Cocoa Ave
Hershey, PA 17033-1712
Phone
(410) 350-5066
NPI assigned
Jul 28, 2009
Last updated
Sep 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD446383 PA Primary
Obesity Medicine (Internal Medicine) Physician 207RB0002X MD446383 PA

Addresses

Primary practice location

1150 Cocoa Ave
Hershey, PA 17033-1712

Mailing address

1150 Cocoa Ave
Hershey, PA 17033-1712
Phone (717) 531-0030

Other practice location 1

3100 Schoolhouse Rd Ste 100
Middletown, PA 17057-3548
Phone (717) 531-7260

Other identifiers 1

IdentifierTypeStateIssuer
102766693MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20180104000766 PA Practitioner - Internal Medicine 9133370919 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1150 Cocoa Ave
Hershey, PA 17033-1712
Phone (717) 531-6015

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD446383PAMDObesity Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Dec 14, 2017 Accepting new patients
Wellspan Medical Group CurrentSince Dec 14, 2017 Accepting new patients
The Milton S Hershey Medical Center Physician Group CurrentSince Jan 1, 2023 Accepting new patients
The Milton S Hershey Medical Center Physicians Group Internal Medicine CurrentSince Jan 1, 2023 Accepting new patients
Wellspan Medical Group Current Accepting new patients
The Milton S Hershey Medical Center Physicians Group Current Accepting new patients
The Milton S. Hershey Medical Center Physicians Group Past Accepting new patients

Locations

1790 Old Trail Rd
Etters, PA 17319
Phone (717) 938-6588

1150 Cocoa Ave
Hershey, PA 17033
Phone (717) 531-6015

500 University Dr
#410
Hershey, PA 17033
Phone (717) 531-1159

500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131

3100 Schoolhouse Rd
Middletown, PA 17057
Phone (717) 948-5180

3100 Schoolhouse Rd
Ste 100
Middletown, PA 17057
Phone (717) 531-7260

1600 S George St
York, PA 17403
Phone (717) 848-3615

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

Organizations & group practices 7

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.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1248739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1396976114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 COCOA AVE",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170331712",
            "telephone_number": "717-531-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 COCOA AVE",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170331712",
            "telephone_number": "410-350-5066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3100 Schoolhouse Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "PA",
            "postal_code": "170573548",
            "country_code": "US",
            "telephone_number": "717-531-7260",
            "fax_number": "717-531-0806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAIKH",
        "first_name": "AZRA",
        "middle_name": "IRFAN",
        "credential": "MBBS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-28",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD446383",
            "primary": true
        },
        {
            "code": "207RB0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Obesity Medicine",
            "state": "PA",
            "license": "MD446383",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102766693",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hershey, PA

Sources for this page

Verify at the official NPI Registry.