Shubi Shahida, MD, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

2005-01514 Issued in NC

Legal business name

SHUBI SHAHIDA, MD, PC

Practice address

712-A Wilkins Street
Smithfield, NC 27577-4664

Phone

(919) 989-9109

NPI assigned

Jul 10, 2006

Last updated

May 16, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Sabu Yunnus

Title

Office Manager

Phone

(919) 989-9109

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Dr Shubi Shahida2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Dr. Shubi Shahida

  • Non-Pharmacy Dispensing Site
  • Smithfield, NC
  • NPI 1346491198
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shubi Shahida, MD

  • Internal Medicine Physician
  • Smithfield, NC
  • NPI 1407803562
  Medicare reassignment NPD

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1740214048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712-A WILKINS STREET",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774664",
            "telephone_number": "919-989-9109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712-A WILKINS STREET",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774664",
            "telephone_number": "919-989-9109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHUBI SHAHIDA, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "YUNNUS",
        "authorized_official_first_name": "SABU",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "919-989-9109",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2005-01514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5902696",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DF3293",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Robin Shawver, RD, LDN
• Rashid Ahmed Sheikh, MD
• Jamie Ann Sheldon, RD, LDN
• Shelly Guo DDS PA
• Louisa Chrisco Sherrill
• Katrina T Sidney, FNP-C
• Reanna Simpson
• Timothy Deyoung Sims, DDS
• Sanjay Singareddy, MD
• Manmohan Singh, M.D.

• Internal Medicine Physician in Smithfield, NC
• Providers in Smithfield, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.