NPIMap

Individual provider Active NPI

Shibana Shafi, M.D

  • Hospitalist Physician
  • Denver, CO
National Provider Identifier
1760630529
Registry record updated Aug 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
50624 Issued in CO
Practice address
835 E 18TH Ave Ste 110
Denver, CO 80218
Phone
(303) 825-4646
Fax
(303) 825-6023
NPI assigned
Sep 5, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 50624 CO
Hospitalist Physician 208M00000X 50624 CO Primary

Addresses

Primary practice location

835 E 18TH Ave Ste 110
Denver, CO 80218

Mailing address

835 E 18TH Ave Ste 110
Denver, CO 80218-1024
Phone (303) 825-4646

Other identifiers 1

IdentifierTypeStateIssuer
37357743MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120104000083 CO Practitioner - HospitalistPractitioner - Internal Medicine 1557537172 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Intermountain Medical Group Denver LLCGroup PAC ID 0840513552, 571 clinicians

Practice addresses (Care Compare)

8350 Colorado Blvd
Unit 160
Firestone, CO 80504-6803
Phone (303) 673-1370

Hospital & facility affiliations

  • Intermountain Health Hospice - Denver Hospice, Wheat Ridge, CO, CCN 061508
  • Intermountain Health Lutheran Hospital Hospital, Wheat Ridge, CO, CCN 060009

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50624COMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC Internal Medicine Current Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Mar 1, 2020 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Mar 1, 2020 Accepting new patients
Intermountain Front Range, Inc. Past Accepting new patients

Locations

835 E 18th Ave
Ste 110
Denver, CO 80218
Phone (303) 825-4646

200 Exempla Cir
Lafayette, CO 80026
Phone (303) 689-4110

8300 W 38th Ave
Wheat Ridge, CO 80033
Phone (303) 425-2015

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1220572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534204800000",
    "number": "1760630529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 E 18TH AVE STE 110",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181024",
            "telephone_number": "303-825-4646",
            "fax_number": "303-825-6023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 E 18TH AVE STE 110",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80218",
            "telephone_number": "303-825-4646",
            "fax_number": "303-825-6023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFI",
        "first_name": "SHIBANA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-05",
        "last_updated": "2018-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "50624",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CO",
            "license": "50624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37357743",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.