Active NPI
Manzar J Shafi MD PA
- Geriatric Medicine (Internal Medicine) Physician
- Hagerstown, MD
National Provider Identifier
1508984113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- D0062327
- Legal business name
- MANZAR J SHAFI MD PA
- Practice address
- 368 Mill St
Hagerstown, MD 21740-6138 - Phone
- (301) 739-4510
- Fax
- (301) 739-0140
- NPI assigned
- Mar 26, 2007
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Dr. Manzar J Shafi, MD
- Title
- President
- Phone
- (301) 739-4510
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Geriatric Medicine (Internal Medicine) Physician
- Hagerstown, MD
- NPI 1689655367
Geriatric Medicine, MD
-
- Certified Registered Nurse Anesthetist
- Cumberland, MD
- NPI 1902072036
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D0220728 | Manzar Shafi MD | Certificate of waiver | Apr 20, 2028 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050303000916 | MD | Part B Supplier - Clinic/Group Practice | 8921052895 |
Receives reassigned benefits from 2 practitioners Practice locations: Hagerstown, MD |
National Provider Directory
National Provider DirectoryLocations
368 Mill St
Hagerstown, MD 21740
Phone (301) 739-4510
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D28365 | MD | |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | D0062327 | MD | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
368 Mill St
Hagerstown, MD 21740-6138
Mailing address
368 Mill St
Hagerstown, MD 21740-6138
Phone (301) 739-4510
Other names 1
NPPES NPI Registry- Antietam Geriatric & Internal Medicine Center
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 11, 2025.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1508984113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "368 MILL ST",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217406138",
"telephone_number": "301-739-4510",
"fax_number": "301-739-0140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "368 MILL ST",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217406138",
"telephone_number": "301-739-4510",
"fax_number": "301-739-0140"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MANZAR J SHAFI MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-26",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "SHAFI",
"authorized_official_first_name": "MANZAR",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "301-739-4510",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MD",
"license": "D28365",
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "MD",
"license": "D0062327",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Antietam Geriatric & Internal Medicine Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hagerstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.