Individual provider Active NPI

Shahid Rafiq, MD

  • Neuromusculoskeletal Medicine & OMM Physician
  • Frederick, MD
National Provider Identifier
1447214549
Registry record updated Sep 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
D0064266 Issued in MD
Practice address
196 Thomas Johnson Dr
Suite 120
Frederick, MD 21702-4397
Phone
(240) 566-3130
Fax
(240) 566-3131
NPI assigned
Apr 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X D0064266 MD Primary

Addresses

Primary practice location

196 Thomas Johnson Dr
Suite 120
Frederick, MD 21702-4397

Mailing address

196 Thomas Johnson Dr
Suite 120
Frederick, MD 21702-4397
Phone (240) 566-3130

Other identifiers 5

IdentifierTypeStateIssuer
1345981OtherAETNA PVN
410515000MedicaidMD
4387-0001OtherCAREFIRST BCBS GHMSI
2630838OtherUNITED
880603-01OtherCAREFIRST BCBS MARYLAND

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060720000222 MD Practitioner - Neurology 4789697541 Reassigns benefits to 3 organizations
I20140331000788 DC Practitioner - Neurology 4789697541 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Comprehensive Neurology Services, PAGroup PAC ID 6103993126, 19 clinicians
Amber Hill Physical Therapy IncGroup PAC ID 8527963917, 336 clinicians

Practice addresses (Care Compare)

10301 Georgia Ave
Suite 206
Silver Spring, MD 20902-5020
Phone (301) 363-4370

187 Thomas Johnson Dr
Frederick, MD 21702-4503

196 Thomas Johnson Dr
Suite 120
Frederick, MD 21702-4521
Phone (240) 566-3130

Hospital & facility affiliations

  • Frederick Health Hospital Hospital, Frederick, MD, CCN 210005
  • Meritus Medical Center Hospital, Hagerstown, MD, CCN 210001
  • Holy Cross Germantown Hospital Hospital, Germantown, MD, CCN 210065
  • Holy Cross Hospital Hospital, Silver Spring, MD, CCN 210004

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0064266MDMDNeuromusculoskeletal Medicine & OMM Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Neurology Services, P.a. CurrentSince Oct 1, 2008 Accepting new patients
Comprehensive Neuropsych Services CurrentSince May 16, 2022 Accepting new patients
Comprehensive Neurology Services, P.a. CurrentSince Oct 1, 2008 Accepting new patients
Frederick Health Hospital Inc Neuromusculoskeletal Medicine & Omm CurrentSince Aug 1, 2006 Accepting new patients
Frederick Health Hospital Inc CurrentSince Aug 1, 2006 Accepting new patients
Vertebral Neurodiagnostic Associates LLC CurrentSince Jul 15, 2018 Accepting new patients
Comprehensive Neurology Services, P.a. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Comprehensive Neurology Services, P.a. Past Accepting new patients
Comprehensive Neurology Services, P.a. Past Accepting new patients

Locations

850 Oak St
Frederick, MD 21703
Phone (301) 689-8374

1562 Opossumtown Pike
Frederick, MD 21702
Phone (240) 566-4500

196 Thomas Johnson Dr
Ste 120
Frederick, MD 21702
Phone (240) 566-3130

400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300

12800 Middlebrook Rd
Ste 114
Germantown, MD 20874
Phone (240) 702-0182

19801 Observation Dr
Germantown, MD 20876
Phone (301) 557-5928

11110 Medical Campus Rd
Ste 227
Hagerstown, MD 21742
Phone (301) 797-1900

10313 Georgia Ave
Ste 101A
Silver Spring, MD 20902
Phone (301) 363-4370

10301 Georgia Ave
Ste 206
Silver Spring, MD 20902
Phone (301) 363-4370

Interoperability endpoints

  • Direct secure messaging: shahid.rafiq@cnsp.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/FBIFAA

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441843200000",
    "number": "1447214549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 THOMAS JOHNSON DR",
            "address_2": "SUITE 120",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024397",
            "telephone_number": "240-566-3130",
            "fax_number": "240-566-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 THOMAS JOHNSON DR",
            "address_2": "SUITE 120",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024397",
            "telephone_number": "240-566-3130",
            "fax_number": "240-566-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFIQ",
        "first_name": "SHAHID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2015-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "MD",
            "license": "D0064266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PVN",
            "identifier": "1345981",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "410515000",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS GHMSI",
            "identifier": "4387-0001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED",
            "identifier": "2630838",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS MARYLAND",
            "identifier": "880603-01",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.