Active NPI
Muhammad Muddasir Shafiq, M.D.
- Student in an Organized Health Care Education/Training Program
- Boston, MA
National Provider Identifier
1649167743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 3020306
- Practice address
- 725 Albany St
Boston, MA 02118 - Phone
- (617) 638-6975
- NPI assigned
- Jun 20, 2025
- Reactivated
- May 28, 2026
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 3020306 | MA | Primary |
Addresses
Primary practice location
725 Albany St
Boston, MA 02118
Mailing address
725 Albany St
Boston, MA 02118
Phone (617) 638-6975
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3020306 | MA | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779926400000",
"number": "1649167743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 ALBANY ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "02118",
"telephone_number": "617-638-6975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 ALBANY ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "02118",
"telephone_number": "617-638-6975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAFIQ",
"first_name": "MUHAMMAD MUDDASIR",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-06-20",
"last_updated": "2026-05-28",
"certification_date": "2026-05-28",
"deactivation_date": "2026-04-20",
"reactivation_date": "2026-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MA",
"license": "3020306",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.