Active NPI
Faizan Shaikh, MD
- Internal Medicine Physician
- Bloomington, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 01085386A
- Practice address
- 601 W 2ND St
Bloomington, IN 47403-2317 - Phone
- (812) 676-4102
- NPI assigned
- Jun 28, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 4351038773 | MI | |
| Internal Medicine Physician | 207R00000X | 01085386A | IN | Primary |
Addresses
Primary practice location
601 W 2ND St
Bloomington, IN 47403-2317
Mailing address
601 W 2ND St
Bloomington, IN 47403-2317
Phone (812) 676-4102
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
601 W 2ND St
Indiana University So in Phy Inc
Bloomington, IN 47403-2317
Phone (888) 484-3258
Hospital & facility affiliations
- Indiana University Health Bloomington Hospital
- Indiana University Health
- Indiana University Health Bedford Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 72.58 of 100
- Quality
- 23.41
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 58.28
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01085386A | IN | MD | Internal Medicine Physician |
| 4351038773 | MI | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indiana University Health Southern Indiana Physicians, LLC | Internal Medicine | Current | Accepting new patients |
| Iu Health Medical Group, LLC | Current | Accepting new patients | |
| Indiana University Health Southern Indiana Physicians LLC | Current | Accepting new patients |
Locations
2900 16th St
Bedford, IN 47421
Phone (812) 275-1200
601 W 2nd St
Bloomington, IN 47403
Phone (812) 353-5252
727 W 2nd St
Bloomington, IN 47403
Phone (812) 353-3450
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
1200 W White River Blvd
Muncie, IN 47303
Phone (765) 254-4009
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.
-
- Multi-Specialty Clinic/Center
- Bloomington, IN
- NPI 1013953983
Internal Medicine
-
- General Practice Physician
- Indianapolis, IN
- NPI 1326893777
-
- Durable Medical Equipment & Medical Supplies
- Bloomington, IN
- NPI 1063179844
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Bedford, IN
- NPI 1548260284
-
- General Acute Care Hospital
- Bloomington, IN
- NPI 1205860335
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1144266024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622764800000",
"number": "1609361948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 W 2ND ST",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474032317",
"telephone_number": "812-676-4102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 W 2ND ST",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474032317",
"telephone_number": "812-676-4102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAIKH",
"first_name": "FAIZAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-28",
"last_updated": "2021-06-04",
"certification_date": "2021-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MI",
"license": "4351038773",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01085386A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; 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.