Individual provider Active NPI

Raheel Shafi, MD

  • Plastic Surgery Physician
  • Miramar, FL
National Provider Identifier
1477759397
Registry record updated Mar 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
245680 Issued in NY
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

Updated by the provider on Mar 4, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, NY2 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
I20090730000550 CT Practitioner - Plastic and Reconstructive SurgeryPractitioner - Family PracticePractitioner - Orthopedic SurgeryPractitioner - Peripheral Vascular Disease 3870646359 Reassigns benefits to 1 organization
I20090924000435 NY Practitioner - Plastic and Reconstructive SurgeryPractitioner - Orthopedic 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 PLLC 7 clinicians
Excel Urgent Care of Wantagh PLLC 40 clinicians

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 100Reported as group
Quality
95
Improvement activities
40
Cost
65.38

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue335
Removal of skin lesions19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
047972CTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Wound Care New York Medical PLLC CurrentSince Aug 28, 2019 Accepting new patients
Optum Urgent Care, PLLC CurrentSince Jun 1, 2014 Accepting new patients
Integrated Wound Care Connecticut PLLC CurrentSince Oct 15, 2018 Accepting new patients
Senf NP Family Medicine PLLC CurrentSince Sep 8, 2025 Accepting new patients
Excel Urgent Care of Wantagh PLLC CurrentSince Sep 5, 2022 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

  • FHIR API: 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

Verify at the official NPI Registry.