Mohamad A Shakir, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2007-01840 Issued in NC

Practice address

1385 Medical Center Dr
Roanoke Rapids, NC 27870-5130

Phone

(252) 537-9176

Fax

(252) 537-6851

NPI assigned

Mar 27, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Pura Clinic Family Medicine PC

  • Family Medicine Physician
  • Fayetteville, NC
  • NPI 1487077491
  Medicare reassignment NPD Authorized official
• Cumberland County Hospital System Inc

  dba Cape Fear Valley Professional Radiology Group

  • Diagnostic Radiology Physician
  • Fayetteville, NC
  • NPI 1962299743
  NPD (past)
• Roanoke Valley Health Services Inc

  dba Vidant Cancer Care Clinic- Roanoke Rapids

  • Medical Oncology Physician
  • Roanoke Rapids, NC
  • NPI 1336771112
  NPD (past)
• Roanoke Valley Health Services Inc

  dba Wildwood Medical Clinic

  • Family Medicine Physician
  • Henrico, NC
  • NPI 1881704997
  NPD (past)

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404345600000",
    "number": "1689792830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 CHESTNUT ST",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278703154",
            "telephone_number": "252-541-1284",
            "fax_number": "252-541-1284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1385 MEDICAL CENTER DR",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278705130",
            "telephone_number": "252-537-9176",
            "fax_number": "252-537-6851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAKIR",
        "first_name": "MOHAMAD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2014-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2007-01840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deepak Udupa Sekaran, M.D.
• Meena Sekaran, MD
• Narayanachar C Sekaran, MD
• Serene Home Health Care, LLC.
• Mumtaz Shaik, SLP
• Shauna K Daniels, LCSW
• Diane Shaw
• Kimberly Moseley Shearin, FNP
• Taylor Shepardson
• Shiva K. Rao MD PC

• Family Medicine Physician in Roanoke Rapids, NC
• Providers in Roanoke Rapids, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; 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.

Verify at the official NPI Registry.