Shazad Ashraf Buksh, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

DP197850 Issued in OR

Practice address

1797 Timberline LN SE
Salem, OR 97306-9564

Phone

(833) 462-2692

Fax

(833) 342-1173

NPI assigned

Jun 7, 2018

Last updated

Mar 5, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 3

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.21 of 100Reported as individual

Quality

56.74

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24143/brand/1/csg/1/fhir/r4
• Direct secure messaging: sbuksh@nwcare.emadirect.md
• Direct secure messaging: shazad.buksh.1@24143.direct.athenahealth.com

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.

• Nwcare Inc

  • Multi-Specialty Clinic/Center
  • Salem, OR
  • NPI 1528653995
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1528329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677974400000",
    "number": "1942793708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1797 TIMBERLINE LN SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973069564",
            "telephone_number": "833-469-2692",
            "fax_number": "833-342-1173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1797 TIMBERLINE LN SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973069564",
            "telephone_number": "833-462-2692",
            "fax_number": "833-342-1173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUKSH",
        "first_name": "SHAZAD",
        "middle_name": "ASHRAF",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-07",
        "last_updated": "2023-03-05",
        "certification_date": "2023-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WA",
            "license": "PO61157008",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "ID",
            "license": "P-262",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OR",
            "license": "DP197850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "R227870",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P02649430",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500791205",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shazad.buksh.1@24143.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "NWCare Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1797 Timberline Ln SE",
            "city": "Salem",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973069564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Oanh T Bui, OTD
• Therese Bui
• Vuong Bui
• Building Blocks Pediatric Dentistry, PC
• Jon Bukowski, OTD, R/L
• Andrea Patricia Bulat, P.T.
• Kimberly Ann Buller, MSW
• Sharon Buller, R.N.
• Luther B Bullock Jr., D.D.S.
• Emily Bunker

• Foot & Ankle Surgery Podiatrist in Salem, OR
• Providers in Salem, OR by specialty
• Foot & Ankle Surgery Podiatrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2023; 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.

Verify at the official NPI Registry.