NPIMap

Individual provider Active NPI

Rizwan A Shaikh, M.D.

  • Family Medicine Physician
  • Wallingford, CT
National Provider Identifier
1497904346
Registry record updated Mar 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
046516 Issued in CT
Practice address
21 Broadmeadow Rd
Wallingford, CT 06492-6045
Phone
(647) 526-4062
Fax
(860) 282-2099
NPI assigned
Sep 16, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 046516 CT
Family Medicine Physician 207Q00000X 046516 CT Primary
Adult Medicine Physician 207QA0505X 046516 CT

Addresses

Primary practice location

21 Broadmeadow Rd
Wallingford, CT 06492-6045

Mailing address

21 Broadmeadow Rd
Wallingford, CT 06492-6045
Phone (647) 526-4062

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
East Hartford Medical Center Inc Family Medicine PastSince Nov 1, 2014 Accepting new patients
Connecticut OBGYN Past Accepting new patients
Meriden Health Care LLC Family Medicine PastSince Nov 1, 2014 Accepting new patients
Medical Care Centers of Connecticut,LLC Family Medicine Past Accepting new patients

Organizations & group practices 4

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": "1221523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489017600000",
    "number": "1497904346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 BROADMEADOW RD",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064926045",
            "telephone_number": "647-526-4062",
            "fax_number": "860-282-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 BROADMEADOW RD",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064926045",
            "telephone_number": "647-526-4062",
            "fax_number": "860-282-2099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAIKH",
        "first_name": "RIZWAN",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-16",
        "last_updated": "2017-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "046516",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "046516",
            "primary": true
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CT",
            "license": "046516",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wallingford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.