NPIMap

Individual provider Active NPI

Muhammad K Shakeel, MD

  • Nephrology Physician
  • Anderson, SC
National Provider Identifier
1477558740
Registry record updated Nov 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
20436 Issued in SC
Practice address
779 Senate Pkwy
Anderson, SC 29621-1820
Phone
(864) 224-8716
Fax
(864) 226-2287
NPI assigned
Jun 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 20436 SC Primary

Addresses

Primary practice location

779 Senate Pkwy
Anderson, SC 29621-1820

Mailing address

779 Senate Pkwy
Anderson, SC 29621-1820
Phone (864) 224-8716

Other identifiers 2

IdentifierTypeStateIssuer
00560568FOtherGAMEDICAID
T44789MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20090501000407 SC Practitioner - NephrologyPractitioner - Internal Medicine 9133277080 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology and Internal Medicine of Anderson PAGroup PAC ID 4688777857, 6 clinicians

Practice addresses (Care Compare)

779 Senate Pkwy
Anderson, SC 29621-1820
Phone (864) 224-8716

Hospital & facility affiliations

  • Fresenius Medical Care North Anderson Dialysis facility, Anderson, SC, CCN 422653
  • FMC Services of Belton-Honea Path Dialysis facility, Honea Path, SC, CCN 422600
  • Anmed Health Hospital, Anderson, SC, CCN 420027
  • Ty Cobb Regional Medical Center, LLC Hospital, Lavonia, GA, CCN 110027
  • Abbeville Area Medical Center Hospital, Abbeville, SC, CCN 421301

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20686FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Anmed Health Current Accepting new patients
Anmed Health CurrentSince Aug 7, 1998 Accepting new patients
Anmed Health CurrentSince Aug 7, 1998 Accepting new patients
Nephrology & Internal Medicine of Anderson PA Nephrology CurrentSince Aug 3, 1998 Accepting new patients
Comprehensive Hospitalist Services of South Carolina Past Accepting new patients

Locations

779 Senate Pkwy
Anderson, SC 29621
Phone (864) 224-8716

800 N Fant St
Anderson, SC 29621
Phone (864) 512-1000

800 N Fant St
Ste A
Anderson, SC 29621
Phone (864) 225-5131

Interoperability endpoints

  • Direct secure messaging: mshakeel26510@direct.acumenmd.com

Organizations & group practices 5

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": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227225600000",
    "number": "1477558740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "779 SENATE PKWY",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296211820",
            "telephone_number": "864-224-8716",
            "fax_number": "864-226-2287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "779 SENATE PKWY",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296211820",
            "telephone_number": "864-224-8716",
            "fax_number": "864-226-2287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAKEEL",
        "first_name": "MUHAMMAD",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2008-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "SC",
            "license": "20436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "00560568F",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T44789",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

Verify at the official NPI Registry.