NPIMap

Individual provider Active NPI

Zakir Iqbalbhai Shaikh, MD

  • Neurology Physician
  • Middletown, CT
National Provider Identifier
1639735566
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
76124 Issued in CT
Practice address
80 S Main St Ste 101
Middletown, CT 06457-3648
Phone
(860) 358-5970
NPI assigned
May 16, 2019
Reactivated
Jan 17, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 76124 CT Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

80 S Main St Ste 101
Middletown, CT 06457-3648

Mailing address

28 Crescent St
Middletown, CT 06457-3654
Phone (860) 358-5970

Other practice location 1

55 Lake Avenue North
Internal jMedicine
Worecester, MA 01655
Phone (774) 442-2173

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240717001649 CT Practitioner - Neurology 3173859360 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Massachusetts Medical School, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Middlesex HospitalGroup PAC ID 5092611731, 231 clinicians

Practice addresses (Care Compare)

80 S Main St
Suite 101
Middletown, CT 06457-3648
Phone (860) 358-6878

Hospital & facility affiliations

  • Middlesex Hospital Hospital, Middletown, CT, CCN 070020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Middlesex Hospital CurrentSince Jul 29, 2024 Accepting new patients
Middlesex Hospital Neurology CurrentSince Jul 29, 2024 Accepting new patients
Middlesex Hospital Past Accepting new patients

Locations

80 S Main St
Ste 101
Middletown, CT 06457
Phone (860) 358-5970

80 S Main St
Ste 102
Middletown, CT 06457
Phone (860) 358-6878

28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000

Interoperability endpoints

  • Direct secure messaging: zshaikh90842@middlesexhealthprd.direct-ci.com

Organizations & group practices 7

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": "1557964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1639735566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 CRESCENT ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573654",
            "telephone_number": "860-358-5970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 S MAIN ST STE 101",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573648",
            "telephone_number": "860-358-5970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Lake Avenue North",
            "address_2": "Internal jMedicine",
            "address_purpose": "LOCATION",
            "city": "Worecester",
            "state": "MA",
            "postal_code": "01655",
            "country_code": "US",
            "telephone_number": "774-442-2173",
            "fax_number": "774-442-6781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAIKH",
        "first_name": "ZAKIR",
        "middle_name": "IQBALBHAI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-16",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "deactivation_date": "2020-01-13",
        "reactivation_date": "2020-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CT",
            "license": "76124",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, CT

Sources for this page

Verify at the official NPI Registry.