Active NPI
Waseem Shahid, M.D.
- Family Medicine Physician
- Bridgeport, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 53804
- Practice address
- 161 Boston Ave
Bridgeport, CT 06610-1662 - Phone
- (203) 333-4400
- Fax
- (203) 334-0729
- NPI assigned
- Apr 24, 2011
- Last updated
- Apr 13, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 53804 | CT | Primary |
Addresses
Primary practice location
161 Boston Ave
Bridgeport, CT 06610-1662
Mailing address
345 Central Park Ave
Apt D
Scarsdale, NY 10583-1361
Phone (347) 223-6987
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
31 Old Route 7
Brookfield, CT 06804-1711
Phone (860) 650-3848
80 Route 6
Suite 704 705
Baldwin Place, NY 10505-1026
Phone (860) 650-3848
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urgent Care Medical of New York, LLC | Current | Accepting new patients | |
| QMG2,LLC | Current | Accepting new patients | |
| Quentin Medical Group, LLC | Current | Accepting new patients | |
| Urgent Care Medical Associates, LLC | Family Medicine | Current | Accepting new patients |
| WRK Ventures, LLC | Past | Accepting new patients |
Locations
161 Boston Ave
Bridgeport, CT 06610
Phone (203) 333-4400
31 Old Route 7
Brookfield, CT 06804
Phone (203) 262-1911
1918 Black Rock Tpke
Fairfield, CT 06825
Phone (203) 583-8400
2928 Main St
Ste 101
Glastonbury, CT 06033
Phone (860) 430-1246
10 South St
Ste 101
Ridgefield, CT 06877
Phone (203) 431-4600
389 Bridgeport Ave
Shelton, CT 06484
Phone (203) 567-4171
900 Main St S
Ste 100
Southbury, CT 06488
Phone (203) 262-1911
80 Route 6
Ste 704705
Baldwin Place, NY 10505
Phone (475) 253-2599
Organizations & group practices 5
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.
-
- Urgent Care Clinic/Center
- Brookfield, CT
- NPI 1730479254
Family Medicine
-
- Urgent Care Clinic/Center
- Baldwin Place, NY
- NPI 1154866879
-
- Urgent Care Clinic/Center
- Bridgeport, CT
- NPI 1487087250
-
dba Urgent Care of Southbury
- Urgent Care Clinic/Center
- Southbury, CT
- NPI 1194993980
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428883200000",
"number": "1619268745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "345 CENTRAL PARK AVE",
"address_2": "APT D",
"city": "SCARSDALE",
"state": "NY",
"postal_code": "105831361",
"telephone_number": "347-223-6987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 BOSTON AVE",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066101662",
"telephone_number": "203-333-4400",
"fax_number": "203-334-0729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAHID",
"first_name": "WASEEM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-24",
"last_updated": "2015-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CT",
"license": "53804",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; 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.