Individual provider Active NPI

Nazish Shafi, M.D.

  • Family Medicine Physician
  • El Paso, TX
National Provider Identifier
1609295484
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD2017-0898 Issued in NM
Practice address
4659 Cohen Ave Unit a
El Paso, TX 79924-4430
Phone
(915) 881-3368
Fax
(915) 751-0464
NPI assigned
Apr 9, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD2017-0898 NM Primary

Addresses

Primary practice location

4659 Cohen Ave Unit a
El Paso, TX 79924-4430

Mailing address

4659 Cohen Ave Unit a
El Paso, TX 79924-4430
Phone (915) 881-3368

Other practice location 1

575 S Alameda Blvd
Las Cruces, NM 88005-2818
Phone (575) 528-6400

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20180118000033 TX Practitioner - Family Practice 1951669407 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD2017-0898NMMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
BHS Physicians Network, Inc Family Medicine CurrentSince Jan 1, 2018 Accepting new patients
BHS Physicians Network, Inc CurrentSince Jan 1, 2018 Accepting new patients
BHS Specialty Network Inc Past Accepting new patients

Locations

4659 Cohen Ave
Unit A
El Paso, TX 79924
Phone (915) 217-1140

3903 Wiseman Blvd
Ste 100
San Antonio, TX 78251
Phone (210) 681-0126

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1397001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1609295484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4659 COHEN AVE UNIT A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799244430",
            "telephone_number": "915-881-3368",
            "fax_number": "915-751-0464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4659 COHEN AVE UNIT A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799244430",
            "telephone_number": "915-881-3368",
            "fax_number": "915-751-0464"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "575 S Alameda Blvd",
            "address_purpose": "LOCATION",
            "city": "Las Cruces",
            "state": "NM",
            "postal_code": "880052818",
            "country_code": "US",
            "telephone_number": "575-528-6400",
            "fax_number": "575-521-7199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAFI",
        "first_name": "NAZISH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-09",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "MD2017-0898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.