Shaheda Fatima Maroof, MD

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

28114 Issued in NC

Practice address

4041 Ed Dr
#108
Raleigh, NC 27612-8004

Phone

(919) 783-8377

Fax

(919) 783-8770

NPI assigned

Oct 2, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Adolescent,Child and Adult PsychiatryGroup PAC ID 3375714777, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Adolescent,Child & Adult Psychiatry

  • Adolescent and Children Mental Health Clinic/Center
  • Raleigh, NC
  • NPI 1457519514
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307577600000",
    "number": "1558454322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4041 ED DR",
            "address_2": "#108",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276128004",
            "telephone_number": "919-783-8377",
            "fax_number": "919-783-8770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4041 ED DR",
            "address_2": "#108",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276128004",
            "telephone_number": "919-783-8377",
            "fax_number": "919-783-8770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAROOF",
        "first_name": "SHAHEDA",
        "middle_name": "FATIMA",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2011-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NC",
            "license": "28114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "12082",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8912082",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trina Marie Marone, P.T.
• John Robert Maroney
• Mohammad Maroof, MD
• Mohammad Baseer Maroof, LCSWA
• Sameer Mohammad Maroof, D.O.
• Cortney E Marotto, DPT
• Marquee Homecare
• Juliann Marques, FNP, RN
• Allissa Marquez, PH.D
• Elizabeth Allen Marron, LCSWA

• Child & Adolescent Psychiatry Physician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Child & Adolescent Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.