Active NPI
Shahid Shamim, MD
- Internal Medicine Physician
- Rockville, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D-59284
- Practice address
- 11119 Rockville Pike
Suite 100
Rockville, MD 20852-3143 - Phone
- (301) 452-2116
- Fax
- (240) 454-3980
- NPI assigned
- Sep 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D-59284 | MD | Primary |
Addresses
Primary practice location
11119 Rockville Pike
Suite 100
Rockville, MD 20852-3143
Mailing address
PO Box 10247
Gaithersburg, MD 20898-0247
Phone (301) 452-2116
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 015238C82 | Other | MD | MEDICARE |
| 400656900 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
11119 Rockville Pike
Suite 101
Rockville, MD 20852-3143
Phone (301) 881-5585
4910 Massachusetts Ave NW
Suite 114 Grady DC Office
Washington, DC 20016-4384
Phone (202) 686-0813
6410 Rockledge Dr
Bethesda, MD 20817-1844
Hospital & facility affiliations
- Adventist Home Health Services, Inc.
- Amedisys Home Health Care
- Bayada Home Health Care, Inc
- Medstar Health Home Care
- Potomac Home Health Care
- Sibley Memorial Hospital
- Adventist Healthcare Rehabilitation at Rockville
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D-59284 | MD | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Care Center LLC | Internal Medicine | Current | Accepting new patients |
| Privia Medical Group, LLC | Internal Medicine | Current | Accepting new patients |
| Capitol Cardiology Associates, LLC | Current | Accepting new patients | |
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Privia Care Center LLC | Internal Medicine | Current | Accepting new patients |
| Nova Physician Wellness Center PLLC | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
4910 Massachusetts Ave NW
Ste 114
Washington, DC 20016
Phone (202) 244-0812
133 Defense Hwy
Ste 112
Annapolis, MD 21401
Phone (410) 573-0140
9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800
11119 Rockville Pike
Ste 101
Rockville, MD 20852
Phone (301) 881-5585
1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230
7600 Carroll Ave
Takoma Park, MD 20912
Phone (301) 791-7600
11350 Pembrooke Sq
Ste 304
Waldorf, MD 20603
Phone (301) 856-2810
950 N Glebe Rd
Ste 4000
Arlington, VA 22203
Phone (301) 593-9011
Interoperability endpoints
- https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
- shahid.shamim.1@8042.direct.athenahealth.com
Organizations & group practices 8
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.
-
dba NRH Rehabilitation Network at Bethesda
- Rehabilitation Clinic/Center
- Bethesda, MD
- NPI 1457354748
-
- Cardiovascular Disease Physician
- Lanham, MD
- NPI 1609855733
-
- Internal Medicine Physician
- Baltimore, MD
- NPI 1730664012
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Rockville, MD
- NPI 1811715436
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Family Medicine Physician
- Fairfax, VA
- NPI 1215307400
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Silver Spring, MD
- NPI 1598826448
-
dba Adventist HealthCare Rehabilitation
- Rehabilitation Hospital
- Rockville, MD
- NPI 1043216773
Inpatient rehabilitation facility
-
dba Amedisys Home Health Care
- Home Health Agency
- Largo, MD
- NPI 1831143908
-
- Home Health Agency
- Gaithersburg, MD
- NPI 1902149891
-
dba MedStar Health Home Care
- Home Health Agency
- Greenbelt, MD
- NPI 1154437879
-
dba Potomac Home Health Care, Inc.
- Home Health Agency
- Bethesda, MD
- NPI 1144267147
-
dba Sibley Memorial Hospital
- General Acute Care Hospital
- Washington, DC
- NPI 1366492977
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423612800000",
"number": "1932208543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10247",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208980247",
"telephone_number": "301-452-2116",
"fax_number": "240-454-3980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11119 ROCKVILLE PIKE",
"address_2": "SUITE 100",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208523143",
"telephone_number": "301-452-2116",
"fax_number": "240-454-3980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAMIM",
"first_name": "SHAHID",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2015-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D-59284",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "015238C82",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "400656900",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2015; 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.