Active NPI
Raheel Shafi, MD
- Plastic Surgery Physician
- Miramar, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 245680
- Practice address
- 3601 SW 160TH Ave
Suite 250
Miramar, FL 33027-6308 - Phone
- (877) 866-7123
- NPI assigned
- Jun 26, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 047972 | CT | |
| Plastic Surgery Physician | 208200000X | 245680 | NY | Primary |
Addresses
Primary practice location
3601 SW 160TH Ave
Suite 250
Miramar, FL 33027-6308
Mailing address
2800 Marcus Ave
New Hyde Park, NY 11042-1113
Phone (516) 622-6000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090730000550 | CT | Practitioner - Plastic and Reconstructive Surgery | 3870646359 | Reassigns benefits to 1 organization |
| I20090924000435 | NY | Practitioner - Plastic and Reconstructive Surgery | 3870646359 |
Reassigns benefits to 4 organizations Practice locations: Brooklyn, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Integrated Wound Care New York Medical PLLCExcel Urgent Care of Wantagh PLLC
Practice addresses (Care Compare)
3457 Nostrand Ave
Brooklyn, NY 11229-5131
Phone (718) 705-6010
7001 Amboy Rd
Staten Island, NY 10307-1444
Phone (347) 838-6991
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.61 of 100
- Quality
- 95
- Improvement activities
- 40
- Cost
- 65.38
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 335 |
| Removal of skin lesions | 19 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 047972 | CT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Wound Care New York Medical PLLC | Current | Accepting new patients | |
| Optum Urgent Care, PLLC | Current | Accepting new patients | |
| Integrated Wound Care Connecticut PLLC | Current | Accepting new patients | |
| Senf NP Family Medicine PLLC | Current | Accepting new patients | |
| Excel Urgent Care of Wantagh PLLC | Current | Accepting new patients |
Locations
930 Mill Hill Ter
Southport, CT 06890
Phone (203) 259-7894
909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300
492C Cedar Ln
Teaneck, NJ 07666
Phone (201) 357-5468
3457 Nostrand Ave
Brooklyn, NY 11229
Phone (718) 535-5100
67 Springvale Rd
Croton on Hudson, NY 10520
Phone (914) 739-6700
11126 Corona Ave
Flushing, NY 11368
Phone (718) 592-6400
10421 State Route 40
Ste 300
Granville, NY 12832
301 Mill Rd
Ste U5
Hewlett, NY 11557
555 N Broadway
Jericho, NY 11753
Phone (516) 597-5070
2800 Marcus Ave
New Hyde Park, NY 11042
Phone (516) 622-6131
484 Temple Hill Rd
Ste 104
New Windsor, NY 12553
Phone (732) 896-4444
484 Temple Hill Rd
Ste 103
New Windsor, NY 12553
7001 Amboy Rd
Staten Island, NY 10307
Phone (347) 838-6991
358 Arden Ave
Staten Island, NY 10312
Phone (718) 227-7666
2960 Victory Blvd
Staten Island, NY 10314
Phone (718) 370-2014
3430 Sunrise Hwy
Wantagh, NY 11793
Phone (516) 900-1600
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457049600000",
"number": "1477759397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 MARCUS AVE",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110421113",
"telephone_number": "516-622-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 SW 160TH AVE",
"address_2": "SUITE 250",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330276308",
"telephone_number": "877-866-7123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAFI",
"first_name": "RAHEEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-26",
"last_updated": "2016-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CT",
"license": "047972",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "NY",
"license": "245680",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miramar, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2016; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.