Individual provider Active NPI

Iram Abdul Shaikh

  • Family Nurse Practitioner
  • South Windsor, CT
National Provider Identifier
1952168536
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
12317 Issued in CT
Practice address
525 Buckland Rd
South Windsor, CT 06074-3746
Phone
(860) 644-4241
NPI assigned
Feb 29, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 12317 CT Primary

Addresses

Primary practice location

525 Buckland Rd
South Windsor, CT 06074-3746

Mailing address

525 Buckland Rd
South Windsor, CT 06074-3746

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240502003142 CT Practitioner - Nurse Practitioner 6507206836 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MC Diagnostic of Connecticut, P.C.Group PAC ID 0941382113, 66 clinicians

Practice addresses (Care Compare)

2639 Main St
Glastonbury, CT 06033-2023
Phone (866) 389-2727

323 Cromwell Ave
Rocky Hill, CT 06067-1801
Phone (866) 389-2727

3514 Main St
Coventry, CT 06238-1551
Phone (866) 389-2727

358 W Main St
Avon, CT 06001-3643
Phone (866) 389-2727

525 Buckland Rd
South Windsor, CT 06074-3746
Phone (866) 389-2727

875 Enfield St
Enfield, CT 06082-3617
Phone (866) 389-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12317CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Primary Care Connecticut PLLC Family CurrentSince Jun 4, 2025 Accepting new patients
MC Diagnostic of Connecticut, P.C. Family CurrentSince Mar 28, 2024 Accepting new patients

Locations

358 W Main St
Avon, CT 06001
Phone (860) 678-8605

3514 Main St
Coventry, CT 06238
Phone (860) 298-5925

875 Enfield St
Enfield, CT 06082
Phone (860) 741-3013

323 Cromwell Ave
Rocky Hill, CT 06067
Phone (860) 384-9666

525 Buckland Rd
South Windsor, CT 06074
Phone (860) 633-4668

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1709164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1952168536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 BUCKLAND RD",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060743746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 BUCKLAND RD",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060743746",
            "telephone_number": "860-644-4241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAIKH",
        "first_name": "IRAM",
        "middle_name": "ABDUL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-29",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "12317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Windsor, CT

Sources for this page

Verify at the official NPI Registry.