Active NPI
Qurrat Ul Ain Shamim, M.D.
- Nephrology Physician
- Maryville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 51989
- Practice address
- 350 BMH Physicians Office BLDG
Maryville, TN 37804-5819 - Phone
- (865) 238-6580
- Fax
- (865) 238-6585
- NPI assigned
- Jul 20, 2007
- Last updated
- Oct 30, 2025
- 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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 2023050603 | MO | |
| Nephrology Physician | 207RN0300X | 51989 | TN | Primary |
Addresses
Primary practice location
350 BMH Physicians Office BLDG
Maryville, TN 37804-5819
Mailing address
300 E McBee Ave FL 4
Greenville, SC 29601-2842
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q007499 | Medicaid | TN | |
| 6023511 | Other | TN | BCBS |
| 7100425380 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- 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
- Nephrology
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
350 BMH Physicians Office BLDG
Maryville, TN 37804-5819
Phone (865) 982-5044
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 40.99 of 100
- Quality
- 58.34
- Promoting interoperability
- 0
- Improvement activities
- 0
- Cost
- 78.29
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.25 of 100
- Quality
- 64.73
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2023050603 | MO | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cookeville Regional Medical Group, Inc | Current | Accepting new patients | |
| Blount Memorial Physician Group, Inc | Current | Accepting new patients | |
| Total Renal Care Inc | Past | Accepting new patients |
Locations
300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615
100 W 4th St
Ste 350
Cookeville, TN 38501
Phone (931) 646-2901
127 N Oak Ave
#D
Cookeville, TN 38501
140 W 7th St
Cookeville, TN 38501
Phone (931) 783-5582
145 W 4th St
Ste 201
Cookeville, TN 38501
Phone (931) 372-7716
228 W 4th St
Ste 301
Cookeville, TN 38501
Phone (931) 526-4349
350 Bmh Physicians Office Bldg
Maryville, TN 37804
Phone (865) 982-5044
463 Bmh Physicians Office Bldg
Maryville, TN 37804
Phone (865) 980-5100
Interoperability endpoints
- https://api.platform.athenahealth.com/10383/brand/1/csg/1/fhir/r4
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- qshamim851259@direct.ghs.myhfn.org
- qurrat.shamim.p1@direct.bmpg.nextgenshare.com
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Alcoa, TN
- NPI 1699710194
-
- Multi-Specialty Clinic/Center
- Cookeville, TN
- NPI 1649202102
-
dba Kelley Corners Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Lake City, SC
- NPI 1598204802
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Blount Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Maryville, TN
- NPI 1194094847
Dialysis facility
-
dba Blount Memorial Hospital
- General Acute Care Hospital
- Maryville, TN
- NPI 1619939071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761782400000",
"number": "1881894582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E MCBEE AVE FL 4",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296012842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 BMH PHYSICIANS OFFICE BLDG",
"city": "MARYVILLE",
"state": "TN",
"postal_code": "378045819",
"telephone_number": "865-238-6580",
"fax_number": "865-238-6585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAMIM",
"first_name": "QURRAT UL AIN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-20",
"last_updated": "2025-10-30",
"certification_date": "2025-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "MO",
"license": "2023050603",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "TN",
"license": "51989",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q007499",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "6023511",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100425380",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Maryville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; 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.