Shakil I Hafiz, D.O.
Individual provider Active NPI Family Medicine Physician · Freeman, SD
NPI 1831454263 · NPPES record last updated Oct 15, 2015
Key facts
- NPI
- 1831454263
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 9671 (SD)
- Practice address
- 804 S Walnut St
Freeman, SD 57029-2033 - Phone
- (605) 925-4219
- NPI assigned
- Jul 11, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 16
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Arizona College of Osteopathic Medicine Mid Western University, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Freeman Regional Health Services
Practice addresses (Care Compare)
510 E 8TH St
Freeman, SD 57029-2086
804 S Walnut St
Freeman, SD 57029-2033
Phone (605) 925-4000
Hospital & facility affiliations
- Avera @ Home
- Avera @ Home
- Aseracare Hospice
- Freeman Medical Center - Cah
- Avera Sacred Heart Hospital
- Sanford Usd Medical Center
- Diamond Care Center
- Menno-Olivet Care Center
- Oakview Terrace
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.27 of 100
- Quality
- 85.98
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Oakview Terrace Nursing Home |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Mar 1, 2023 Mar 1, 2023 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151021003353 | SD | Practitioner - Family Practice | 8921324575 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125062434 | IL | MD | Family Medicine Physician |
| 9671 | SD | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rural Medical Clinics | Current | Accepting new patients | |
| Freeman Regional Health Services | Current |
Accepting new patients | |
| Freeman Regional Health Services | Current |
Accepting new patients | |
| Bridgewater Nursing Home Corporation | Past | Accepting new patients |
Locations
510 E 8th St
Freeman, SD 57029
Phone (605) 925-4000
804 S Walnut St
Freeman, SD 57029
Phone (605) 925-4000
Interoperability endpoints
- shakil.hafiz@avera.sdhealthlink.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 125062434 | IL | |
| Family Medicine Physician | 207Q00000X | 9671 | SD | Yes |
Addresses
Primary practice location
804 S Walnut St
Freeman, SD 57029-2033
Mailing address
804 S. Walnut
Freeman, SD 57029
Phone (605) 925-4219
Other providers in Freeman, SD
- Freeman Regional Health Services
- Freeman Regional Health Services
- Freeman Regional Health Services
- Freeman Regional Health Services
- Freeman Regional Health Services
- Danielle Heiberger
- Sylvia Mae Hofer
- Jason Aanenson, DDS, PC
- Kenneth T Kirton Jr.
- Main Street Pharmacy I Corp
All providers in Freeman, SD · Family Medicine Physician in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.