Individual provider Active NPI

Shahin Shaikh, PA-C

  • Physician Assistant
  • Hamden, CT
National Provider Identifier
1649655226
Registry record updated Jul 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
003371 Issued in CT
Practice address
2 Skiff St Apt 311
Hamden, CT 06514-1822
Phone
(860) 869-5575
NPI assigned
Jul 24, 2015
Last updated
Jul 24, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 003371 CT Primary

Addresses

Primary practice location

2 Skiff St Apt 311
Hamden, CT 06514-1822

Mailing address

2 Skiff St Apt 311
Hamden, CT 06514-1822

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150928001677 CT Practitioner - Physician Assistant 9133437916 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.05 of 100Reported as group
Quality
84.92
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
84.01 of 100Reported as group
Quality
71.79
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Pathology Associates, P.C. Current Accepting new patients
Yale University CurrentSince Sep 30, 2019 Accepting new patients
Connecticut Back Center LLC CurrentSince Oct 7, 2020 Accepting new patients
Hartford Hospital CurrentSince Oct 17, 2025 Accepting new patients
Yale University CurrentSince Sep 30, 2019 Accepting new patients
Hartford Hospital CurrentSince Oct 17, 2025 Accepting new patients
Clinic 21 of Connecticut LLC Past Accepting new patients

Locations

435 Lewis Ave
Meriden, CT 06451
Phone (203) 284-1340

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

81 Meriden Ave
Southington, CT 06489
Phone (860) 224-5540

201 Chestnut Hill Rd
Stafford Springs, CT 06076
Phone (860) 265-6521

1 Hospital Plz
Stamford, CT 06902
Phone (203) 276-4925

34 Professional Park Rd
Storrs Mansfield, CT 06268
Phone (860) 429-2803

460 Hartford Tpke
Ste B
Vernon Rockville, CT 06066
Phone (860) 872-6229

31 Union St
Vernon Rockvl, CT 06066
Phone (860) 289-6451

64 Robbins St
Waterbury, CT 06708
Phone (203) 573-7142

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

112 Mansfield Ave
Willimantic, CT 06226
Phone (830) 423-6410

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1437696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437696000000",
    "number": "1649655226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SKIFF ST APT 311",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065141822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SKIFF ST APT 311",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065141822",
            "telephone_number": "860-869-5575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAIKH",
        "first_name": "SHAHIN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-24",
        "last_updated": "2015-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "003371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamden, CT

Sources for this page

Verify at the official NPI Registry.