Active NPI
Shoheera Punjwani, DO
- Gastroenterology Physician
- Warwick, RI
National Provider Identifier
1427636893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- CLP05813
- Practice address
- 455 Toll Gate Rd
Warwick, RI 02886-2759 - Phone
- (401) 737-7000
- NPI assigned
- Mar 29, 2021
- Reactivated
- Jul 24, 2024
- Last updated
- Jul 25, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | CLP05813 | RI | Primary |
Addresses
Primary practice location
455 Toll Gate Rd
Warwick, RI 02886-2759
Mailing address
330 Mount Auburn St
Cambridge, MA 02138-5502
Other names 1
- Shoheera Khaliqdina
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210917001160 | MA | Order and Referring Only - Gastroenterology | 9537566542 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affinity Physicians LLC. | Current | Accepting new patients |
Locations
455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7000
Interoperability endpoints
- spunjwani@direct.carene.org
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Warwick, RI
- NPI 1184944662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721865600000",
"number": "1427636893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 MOUNT AUBURN ST",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021385502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 TOLL GATE RD",
"city": "WARWICK",
"state": "RI",
"postal_code": "028862759",
"telephone_number": "401-737-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUNJWANI",
"first_name": "SHOHEERA",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-29",
"last_updated": "2024-07-25",
"certification_date": "2024-07-25",
"deactivation_date": "2024-06-24",
"reactivation_date": "2024-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "RI",
"license": "CLP05813",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHOHEERA",
"last_name": "KHALIQDINA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Warwick, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.