Individual provider Active NPI

Nabil Ahmad Shafi, M.D.

  • Internal Medicine Physician
  • Sacramento, CA
National Provider Identifier
1619175676
Registry record updated Jun 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A120581 Issued in CA
Practice address
4860 Y St
Sacramento, CA 95817-2307
Phone
(916) 734-3764
NPI assigned
Jul 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 258123 NY
Internal Medicine Physician 207R00000X A120581 CA Primary

Addresses

Primary practice location

4860 Y St
Sacramento, CA 95817-2307

Mailing address

4860 Y St
Sacramento, CA 95817-2307

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20160707001714 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Peripheral Vascular Disease 4880997212 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Peripheral Vascular Disease
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2000 Mowry Ave
Fremont, CA 94538-1716
Phone (510) 797-1111

2333 Mowry Ave
Suite 300
Fremont, CA 94538-1626
Phone (510) 796-0222

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
64.37 of 100Reported as group
Quality
53.29
Promoting interoperability
0
Improvement activities
40
Cost
87.09

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10
Varicose vein removal1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A120581CAMDInternal Medicine Physician
258123NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
California Cardiovascular Consultants Family Medicine CurrentSince Jul 25, 2017 Accepting new patients
Washington Township Hospital District Current Accepting new patients
California Cardiovascular Consultants Medical Associates Internal Medicine CurrentSince Jul 25, 2017 Accepting new patients

Locations

2333 Mowry Ave
Ste 300
Fremont, CA 94538
Phone (510) 670-1111

2000 Mowry Ave
Fremont, CA 94538
Phone (510) 793-6653

6250 Thornton Ave
Newark, CA 94560
Phone (510) 791-1798

175 N Jackson Ave
Ste 103
San Jose, CA 95116
Phone (408) 272-1600

Interoperability endpoints

  • Direct secure messaging: nshafi97966@direct.whhs.com

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.

Hospital & facility affiliations 1

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": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433808000000",
    "number": "1619175676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4860 Y ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4860 Y ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172307",
            "telephone_number": "916-734-3764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFI",
        "first_name": "NABIL",
        "middle_name": "AHMAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-10",
        "last_updated": "2015-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "258123",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A120581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.