Individual provider Active NPI

Mohammad Tayyab Sheikh

  • General Practice Physician
  • Lauderhill, FL
National Provider Identifier
1437205796
Registry record updated Mar 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME86678 Issued in FL
Practice address
1168 N State Road 7
Lauderhill, FL 33313-6630
Phone
(954) 581-7700
Fax
(954) 581-7090
NPI assigned
Jan 26, 2007
Last updated
Mar 6, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 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 33313-6630
Phone (954) 581-7700

Other identifiers 1

IdentifierTypeStateIssuer
266715100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20031204000571 FL Practitioner - General PracticePractitioner - Family Practice 0446155204 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Family Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1168 N State Rd
Suite 7
Lauderhill, FL 33313-6630
Phone (301) 960-4252

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME86678FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Doctor's Medical Associates LLC Current Accepting new patients
Coral Springs Medical Group Inc. CurrentSince Aug 30, 2019 Accepting new patients

Locations

3080 NW 99th Ave
Ste 304
Coral Springs, FL 33065
Phone (754) 812-1000

1168 N State Road 7
Lauderhill, FL 33313
Phone (301) 960-4252

Organizations & group practices 3

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": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520294400000",
    "number": "1437205796",
    "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": "333136630",
            "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": {
        "last_name": "SHEIKH",
        "first_name": "MOHAMMAD",
        "middle_name": "TAYYAB",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2018-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME86678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266715100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderhill, FL

Sources for this page

Verify at the official NPI Registry.