Active NPI
Ruqiya Shama Tareen, M.D.
- Psychiatry Physician
- Kalamazoo, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 4301078095
- Practice address
- 1717 Shaffer St
Suite 010
Kalamazoo, MI 49048-1647 - Phone
- (269) 337-6373
- Fax
- (269) 337-6376
- NPI assigned
- Mar 22, 2006
- Last updated
- Jun 14, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 4301078095 | MI | Primary |
Addresses
Primary practice location
1717 Shaffer St
Suite 010
Kalamazoo, MI 49048-1647
Mailing address
1000 Oakland Dr
Kalamazoo, MI 49008-1282
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4746089 | Medicaid | MI | |
| 2603911632 | Other | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
5930 Lovers LN
Suite 3
Portage, MI 49002-1673
Phone (269) 381-6950
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.1 of 100
- Quality
- 85.82
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.4
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301078095 | MI | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Michigan Psychiatric Services LLC | Psychiatry | Current | Accepting new patients |
| Western Michigan University School of Medicine | Current | Accepting new patients | |
| Michigan State University Kalamazoo Center for Medical Studies | Current | Accepting new patients | |
| South Michigan Psychiatric Services LLC | Current | Accepting new patients |
Locations
1000 Oakland Dr
Kalamazoo, MI 49008
Phone (269) 337-4347
1717 Shaffer St
Ste 10
Kalamazoo, MI 49048
Phone (269) 337-6200
900 Peeler St
Kalamazoo, MI 49008
Phone (269) 345-8618
5930 Lovers Ln
Ste 3
Portage, MI 49002
Phone (269) 381-6950
Interoperability endpoints
- kalamazootms.tareen.ruqiya@140035.advancedmd-direct.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Kalamazoo TMS & Behavioral Health
- Psychiatry Physician
- Portage, MI
- NPI 1114219227
-
dba WMed Health
- Multi-Specialty Clinic/Center
- Kalamazoo, MI
- NPI 1316212343
-
dba South Michigan Psychiatric Services
- Prescribing (Medical) Psychologist
- Portage, MI
- NPI 1932635521
-
dba Msu/KCMS
- Multi-Specialty Clinic/Center
- Kalamazoo, MI
- NPI 1568467249
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339632000000",
"number": "1598724122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 OAKLAND DR",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490081282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 SHAFFER ST",
"address_2": "SUITE 010",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490481647",
"telephone_number": "269-337-6373",
"fax_number": "269-337-6376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAREEN",
"first_name": "RUQIYA",
"middle_name": "SHAMA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-22",
"last_updated": "2012-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MI",
"license": "4301078095",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4746089",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "2603911632",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; 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.