Individual provider Active NPI

Fareed Raza Shaikh, M.D.

  • Cardiovascular Disease Physician
  • Westerville, OH
National Provider Identifier
1609990779
Registry record updated Jun 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
35092086 Issued in OH
Practice address
477 Cooper Rd Ste 200
Westerville, OH 43081-8054
Phone
(614) 627-2000
Fax
(614) 552-0206
NPI assigned
Mar 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 35092086 OH
Cardiovascular Disease Physician 207RC0000X 35092086 OH Primary

Addresses

Primary practice location

477 Cooper Rd Ste 200
Westerville, OH 43081-8054

Mailing address

477 Cooper Rd Ste 200
Westerville, OH 43081-8054
Phone (146) 627-2000

Other practice location 1

85 McNaughten Rd Ste 110
Columbus, OH 43213-5111
Phone (614) 627-2000

Other identifiers 1

IdentifierTypeStateIssuer
2836793MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080818000602 OH Practitioner - Interventional Cardiology 3678673779 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4101 Emerald Pkwy
Suite 200
Dublin, OH 43016-3323

4105 Emerald Pkwy
Dublin, OH 43016-3323
Phone (380) 898-9000

477 Cooper Rd
Suite 200
Westerville, OH 43081-8054
Phone (614) 663-3877

5300 N Meadows Dr
Grove City, OH 43123-2546

5300 N Meadows Dr Building
1 Suite 280
Grove City, OH 43123-2546
Phone (614) 627-2000

6001 E Broad St
Mount Carmel Palliative Care
Columbus, OH 43213-1502
Phone (614) 234-6000

6150 E Broad St
Columbus, OH 43213-1574
Phone (614) 546-4400

85 McNaughten Rd
Columbus, OH 43213-5111
Phone (614) 627-2000

85 McNaughten Rd
Suite 300
Columbus, OH 43213-5112
Phone 61462720006

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.44 of 100Reported as group
Quality
75.57
Promoting interoperability
79
Improvement activities
40
Cost
73.41

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting49
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35092086OHMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Carmel Healthproviders Two LLC CurrentSince Dec 1, 2013 Accepting new patients
Mount Carmel Healthproviders Two LLC Cardiovascular Disease CurrentSince Dec 1, 2013 Accepting new patients
Proactive Heart & Vascular, PLLC Cardiovascular Disease PastSince Aug 1, 2008 Accepting new patients
Capitol City Cardiology, Inc. Cardiovascular Disease Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Capitol City Cardiology, Inc. Cardiovascular Disease Past Accepting new patients

Locations

85 McNaughten Rd
Ste 300
Columbus, OH 43213
Phone 61462720006

6150 E Broad St
Columbus, OH 43213
Phone (614) 546-4400

85 McNaughten Rd
Ste 200
Columbus, OH 43213
Phone (614) 759-1186

85 McNaughten Rd
Ste 110
Columbus, OH 43213
Phone (614) 751-8846

5825 Westbourne Ave
Columbus, OH 43213
Phone (614) 224-4200

500 S Cleveland Ave
Westerville, OH 43081
Phone (380) 898-4000

477 Cooper Rd
Ste 200
Westerville, OH 43081
Phone (614) 459-7676

Interoperability endpoints

  • Direct secure messaging: fshaikh1163264@direct.trinity-health.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1609990779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 COOPER RD STE 200",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430818054",
            "telephone_number": "146-627-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 COOPER RD STE 200",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430818054",
            "telephone_number": "614-627-2000",
            "fax_number": "614-552-0206"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "85 McNaughten Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432135111",
            "country_code": "US",
            "telephone_number": "614-627-2000",
            "fax_number": "614-552-0206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAIKH",
        "first_name": "FAREED",
        "middle_name": "RAZA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "OH",
            "license": "35092086",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35092086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2836793",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

Verify at the official NPI Registry.