Active NPI
Manzar J Shafi, M.D.
- Geriatric Medicine (Internal Medicine) Physician
- Hagerstown, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- D28365
- Practice address
- 368 Mill St
Hagerstown, MD 21740-6138 - Phone
- (301) 739-4510
- Fax
- (301) 739-0140
- NPI assigned
- Nov 9, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | D28365 | MD | Primary |
Addresses
Primary practice location
368 Mill St
Hagerstown, MD 21740-6138
Mailing address
368 Mill St
Hagerstown, MD 21740-6138
Phone (301) 739-4510
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101011001148 | MD | Practitioner - Internal Medicine | 2466406335 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Amber Hill Physical Therapy Inc
Practice addresses (Care Compare)
187 Thomas Johnson Dr
Suite 6
Frederick, MD 21702-4503
368 Mill St
Hagerstown, MD 21740-6138
Phone (301) 739-4510
Hospital & facility affiliations
- Home Call
- Meritus Medical Center, Inc
- Meritus Medical Center
- Creekside Center for Rehabilitation and Nursing
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Manzar J Shafi MD PA | Geriatric Medicine | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Meritus Medical Laboratory LLC | Past | Accepting new patients |
Locations
368 Mill St
Hagerstown, MD 21740
Phone (301) 739-4510
Organizations & group practices 4
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Hagerstown, MD
- NPI 1508984113
Geriatric Medicine, MD
-
- Physical Therapist
- Frederick, MD
- NPI 1548290224
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Clinical Medical Laboratory
- Hagerstown, MD
- NPI 1679518971
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Skilled Nursing Facility
- Hagerstown, MD
- NPI 1215693668
Nursing home
-
- Home Health Agency
- Frederick, MD
- NPI 1790870350
-
- Home Health Agency
- Hagerstown, MD
- NPI 1942290077
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196294400000",
"number": "1689655367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "368 MILL ST",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217406138",
"telephone_number": "301-739-4510",
"fax_number": "301-739-0140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "368 MILL ST",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217406138",
"telephone_number": "301-739-4510",
"fax_number": "301-739-0140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAFI",
"first_name": "MANZAR",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-09",
"last_updated": "2007-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "MD",
"license": "D28365",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hagerstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; 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.