Organization Active NPI

Manzar J Shafi MD PA

  • Geriatric Medicine (Internal Medicine) Physician
  • Hagerstown, MD
National Provider Identifier
1508984113
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
D0062327 Issued in MD
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, MDNPI 1689655367
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.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D0220728Manzar Shafi MD368 Mill St, Hagerstown, MD 21740Certificate of waiverApr 20, 2028

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20050303000916 MD Part B Supplier - Clinic/Group Practice 8921052895 Receives reassigned benefits from 2 practitioners
Practice locations: Hagerstown, MD

National Provider Directory

National Provider Directory

Locations

368 Mill St
Hagerstown, MD 21740
Phone (301) 739-4510

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X D28365 MD
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0300X D0062327 MD Primary

Addresses

NPPES NPI Registry

Primary 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 Doing business as

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.

Verify at the official NPI Registry.