Active NPI
Huma Shakil, MD, PA
- Internal Medicine Physician
- Cumberland, MD
National Provider Identifier
1518148295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| FH56H | Other | MD | BCBS-NEW |
| R9110001 | Other | MD | FED BCSB & BLUE CHOICE |
| P18192 | Other | MD | BCBS POS-NEW |
| 236826 | Other | MD | ALLIANCE |
| 836826 | Other | MD | MDIPA |
| 149631000 | Medicaid | MD | |
| 53295001 | Other | MD | BCBS |
| M672 | Other | MD | BCBS-FED & BLUE CHOICE-NEW |
| P11632 | Other | MD | BCBS POS |
Other names 1
- INTERNIST MEDICAL GROUP
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Cumberland, MD
- NPI 1093212094
-
- Internal Medicine Physician
- Cumberland, MD
- NPI 1790857688
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.