Active NPI
Mariam Shabbir, M.D.
- Pulmonary Disease Physician
- Meridian, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 36943
- Practice address
- 2024 15TH St FL 2
Meridian, MS 39301-4130 - Phone
- (601) 553-2000
- Fax
- (601) 553-6856
- NPI assigned
- Apr 16, 2020
- Reactivated
- Jan 27, 2022
- Last updated
- Jul 1, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 2025001461 | MO | |
| Pulmonary Disease Physician | 207RP1001X | 36943 | MS | Primary |
Addresses
Primary practice location
2024 15TH St FL 2
Meridian, MS 39301-4130
Mailing address
350 N Humphreys Blvd
Memphis, TN 38120-2177
Phone (901) 226-4003
Other practice location 1
1102 Constitution Ave
Meridian, MS 39301-4001
Phone (601) 703-5000
Other practice location 2
2124 14th St
Meridian, MS 39301-4040
Phone (601) 553-6000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
350 N Humpheys Blvd
Memphis, TN 38120-2177
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Organizations & group practices 1
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.
-
dba Baptist Medical Group-Anderson Physician Alliance
- Multi-Specialty Clinic/Center
- Meridian, MS
- NPI 1760798227
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mercy Hospital St Louis
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
-
dba Mercy St. Louis Transport Ambulance
- Land Ambulance
- Saint Louis, MO
- NPI 1881329902
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782864000000",
"number": "1730708033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 N HUMPHREYS BLVD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381202177",
"telephone_number": "901-226-4003",
"fax_number": "901-227-8591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2024 15TH ST FL 2",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393014130",
"telephone_number": "601-553-2000",
"fax_number": "601-553-6856"
}
],
"practiceLocations": [
{
"address_1": "1102 Constitution Ave",
"address_purpose": "LOCATION",
"city": "Meridian",
"state": "MS",
"postal_code": "393014001",
"country_code": "US",
"telephone_number": "601-703-5000",
"fax_number": "601-703-0124",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2124 14th St",
"address_purpose": "LOCATION",
"city": "Meridian",
"state": "MS",
"postal_code": "393014040",
"country_code": "US",
"telephone_number": "601-553-6000",
"fax_number": "601-703-0124",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHABBIR",
"first_name": "MARIAM",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-16",
"last_updated": "2026-07-01",
"certification_date": "2026-07-01",
"deactivation_date": "2022-01-10",
"reactivation_date": "2022-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "MO",
"license": "2025001461",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MS",
"license": "36943",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Meridian, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.
- 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.