Organization Active NPI

Huma Shakil, MD, PA

  • Internal Medicine Physician
  • Cumberland, MD
National Provider Identifier
1518148295
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
HUMA SHAKIL, MD, PA
Doing business as
INTERNIST MEDICAL GROUP
Practice address
625 Kent Ave Ste 204
Cumberland, MD 21502-3799
Phone
(301) 777-7300
Fax
(301) 777-4000
NPI assigned
Nov 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Dr. Shakil M Rahman, PH.D
Title
Business Manager
Phone
(301) 777-7300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

625 Kent Ave Ste 204
Cumberland, MD 21502-3799

Mailing address

625 Kent Ave, Suite 204
Cumberland, MD 21502-3799
Phone (301) 777-7300

Other identifiers 9

IdentifierTypeStateIssuer
FH56HOtherMDBCBS-NEW
R9110001OtherMDFED BCSB & BLUE CHOICE
P18192OtherMDBCBS POS-NEW
236826OtherMDALLIANCE
836826OtherMDMDIPA
149631000MedicaidMD
53295001OtherMDBCBS
M672OtherMDBCBS-FED & BLUE CHOICE-NEW
P11632OtherMDBCBS POS

Other names 1

  • INTERNIST MEDICAL GROUP Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080703000453 MD Part B Supplier - Clinic/Group Practice 3971675190 Receives reassigned benefits from 2 practitioners
Practice locations: Cumberland, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1518148295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 KENT AVE, SUITE 204",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215023799",
            "telephone_number": "301-777-7300",
            "fax_number": "301-777-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 KENT AVE STE 204",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215023799",
            "telephone_number": "301-777-7300",
            "fax_number": "301-777-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMA SHAKIL, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-21",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "RAHMAN",
        "authorized_official_first_name": "SHAKIL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "301-777-7300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-NEW",
            "identifier": "FH56H",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FED BCSB & BLUE CHOICE",
            "identifier": "R9110001",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS POS-NEW",
            "identifier": "P18192",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLIANCE",
            "identifier": "236826",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDIPA",
            "identifier": "836826",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149631000",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "53295001",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-FED & BLUE CHOICE-NEW",
            "identifier": "M672",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS POS",
            "identifier": "P11632",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INTERNIST MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cumberland, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.