Tariq A Sheikh, MD
Individual provider Active NPI Family Medicine Physician · Derby, NY
NPI 1891799656 · NPPES record last updated Jun 20, 2013
Key facts
- NPI
- 1891799656
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 233142 (NY)
- Practice address
- 7060 Erie Rd
Suite 100
Derby, NY 14047-9430 - Phone
- (716) 947-0408
- Fax
- (716) 947-0413
- NPI assigned
- Jun 9, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 17
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- State University of New York at Buffalo School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lakeshore Family Medicine Assoc PC
Practice addresses (Care Compare)
10626 Main St
North Collins, NY 14111-9550
Phone (716) 337-2422
Hospital & facility affiliations
- Vna of Western Ny Chha
- McAuley Seton Home Care Corp Chha
- Willcare Chha (Buffalo)
- Brooks-TLC Hospital System, Inc
- Bertrand Chaffee Hospital
- Sisters of Charity Hospital
- Kaleida Health
- Mercy Hospital of Buffalo
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040816000064 | NY | Practitioner - Family Practice | 2961475314 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 233142 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeshore Family Medicine Assoc PC | Family Medicine | Current |
Accepting new patients |
| General Physician, PC | Past |
Accepting new patients |
Locations
7060 Erie Rd
Ste 100
Derby, NY 14047
Phone (716) 947-0408
7060 Erie Rd
Derby, NY 14047
Phone (716) 677-2273
12655 Seneca Rd
Irving, NY 14081
Phone (716) 517-5069
10626 Main St
North Collins, NY 14111
Phone (716) 337-2422
Interoperability endpoints
- tsheikh@lakeshorefamily.medentdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 233142 | NY | Yes |
Addresses
Primary practice location
7060 Erie Rd
Suite 100
Derby, NY 14047-9430
Mailing address
7060 Erie Rd
Suite 100
Derby, NY 14047-9430
Phone (716) 947-0408
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02564432 | Medicaid | NY |
Other providers in Derby, NY
- Ruby Orcutt Mental Health Counseling, PC
- Alan Joseph Sailer
- Page Ashley Schmidt
- J Douglas Schumer
- Joseph Schwartzott
- Jessica Marie Sills
- Michelle M Sirolli
- Brittany C Smith
- Timothy Smith
- Laura Marie Spencer
All providers in Derby, NY · Family Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 20, 2013. 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.
- 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.