Individual provider Active NPI

Madeeha Shafqat, M.D

  • Hospitalist Physician
  • Danville, PA
National Provider Identifier
1730700832
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
MD484343 Issued in PA
Practice address
100 North Academy Ave
Danville, PA 17822-9800
Phone
(702) 149-5855
Fax
(570) 214-9519
NPI assigned
Apr 29, 2020
Last updated
Apr 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X MD484343 PA Primary
Internal Medicine Physician 207R00000X 036164892 IL

Addresses

Primary practice location

100 North Academy Ave
Danville, PA 17822-9800

Mailing address

100 N Academy Ave
Danville, PA 17822-9800
Phone (570) 271-6144

Other practice location 1

2213 Cherry Street
Toledo, OH 43608
Phone (419) 251-4744

Other practice location 2

611 W Park St
Urbana, IL 61801-2501
Phone (217) 383-3129

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240222002001 IL Practitioner - Hospitalist 4688018278 Reassigns benefits to 2 organizations
I20240628000426 PA Practitioner - Hospitalist 4688018278 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians
Geisinger-HM Joint Venture LLCGroup PAC ID 1355676370, 426 clinicians

Practice addresses (Care Compare)

100 N Academy Ave
Danville, PA 17822-9800
Phone (570) 271-6211

255 Route 220 Hwy
Muncy, PA 17756-7569
Phone (570) 308-2600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036164892ILMDInternal Medicine Physician
MD484343PAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hoopeston Community Memorial Hospital Current Accepting new patients
Hoopeston Community Memorial Hospital Internal Medicine Current Accepting new patients
Hoopeston Community Memorial Hospital CurrentSince Jan 9, 2024 Accepting new patients
Carle Health Medical Group Internal Medicine CurrentSince Jan 9, 2024 Accepting new patients
Geisinger Clinic CurrentSince Apr 15, 2024 Accepting new patients
Geisinger-HM Joint Venture, LLC CurrentSince Sep 15, 2024 Accepting new patients
Geisinger-HM Joint Venture LLC Internal Medicine CurrentSince Sep 15, 2024 Accepting new patients
Geisinger Clinic Current Accepting new patients
Geisinger Clinic Hospitalist CurrentSince Apr 15, 2024 Accepting new patients
Geisinger-HM Joint Venture, LLC Current Accepting new patients
Carle Health Care Incorporated Past Accepting new patients
Geisinger Jersey Shore Hospital Past Accepting new patients
Geisinger Medical Center Past Accepting new patients

Locations

701 E Orange St
Hoopeston, IL 60942
Phone (217) 283-5531

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

100 N Academy Ave
Danville, PA 17822

10 Choate Cir
Montoursville, PA 17754
Phone (570) 368-5566

255 Route 220 Hwy
Muncy, PA 17756
Phone (570) 308-2600

1000 E Mountain Dr
Wilkes Barre, PA 18711
Phone (570) 826-7300

Interoperability endpoints

  • Direct secure messaging: mshafqatmd375836@carlehiedirect.net

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 47

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 47

NPI Registry JSON

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

{
    "created_epoch": "1588118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1730700832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178229800",
            "telephone_number": "570-271-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NORTH ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178229800",
            "telephone_number": "702-149-5855",
            "fax_number": "570-214-9519"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2213 Cherry Street",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "43608",
            "country_code": "US",
            "telephone_number": "419-251-4744",
            "fax_number": "419-251-6795",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "611 W Park St",
            "address_purpose": "LOCATION",
            "city": "Urbana",
            "state": "IL",
            "postal_code": "618012501",
            "country_code": "US",
            "telephone_number": "217-383-3129",
            "fax_number": "217-326-1550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAFQAT",
        "first_name": "MADEEHA",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-29",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "PA",
            "license": "MD484343",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036164892",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, PA

Sources for this page

Verify at the official NPI Registry.