Individual provider Active NPI

Shahid Ali Shigri, M.D.

  • Family Medicine Physician
  • Milwaukee, WI
National Provider Identifier
1972943744
Registry record updated Oct 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
66177-20 Issued in WI
Practice address
6901 W Edgerton Ave
Milwaukee, WI 53220-4420
Phone
(414) 325-5244
Fax
(414) 421-3772
NPI assigned
Jun 26, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 06300 GA
Family Medicine Physician 207Q00000X 66177-20 WI Primary

Addresses

Primary practice location

6901 W Edgerton Ave
Milwaukee, WI 53220-4420

Mailing address

6901 W Edgerton Ave
Milwaukee, WI 53220-4420
Phone (414) 325-5244

Other identifiers 1

IdentifierTypeStateIssuer
1972943744MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200429001374 NJ Practitioner - Family Practice 8022244409 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Care Physicians of New Jersey LLCGroup PAC ID 1658674585, 96 clinicians

Practice addresses (Care Compare)

46 Newman Springs Rd E
Suite F
Red Bank, NJ 07701-1531
Phone (732) 933-4100

Hospital & facility affiliations

  • Morristown Medical Center Hospital, Morristown, NJ, CCN 310015

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
06300GAMDFamily Medicine Physician
66177-20WIMDFamily Medicine Physician
006300GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care Physicians of New Jersey, LLC CurrentSince Dec 1, 2023 Accepting new patients
Prohealth Urgent Care Medicine of New Jersey LLP CurrentSince Dec 1, 2021 Accepting new patients
Atlantic Urgent Care, LLC CurrentSince Nov 13, 2024 Accepting new patients
William R. Collini, M.D., P.a. PastSince Nov 13, 2024 Accepting new patients

Locations

1210 Route 130 N
Ste 1438
Cinnaminson, NJ 08077
Phone (551) 313-0170

319 US Highway 130
East Windsor, NJ 08520
Phone (609) 426-4300

561 US Highway 1
Edison, NJ 08817
Phone (732) 933-0950

415 W Saint Georges Ave
Linden, NJ 07036
Phone (908) 925-0363

181 High St
Newton, NJ 07860
Phone (973) 383-9898

46 Newman Springs Rd E
Ste F
Red Bank, NJ 07701
Phone (732) 933-4100

1 Harmon Plz
Ste 1010
Secaucus, NJ 07094

376 Route 15
Ste 101
Sparta, NJ 07871
Phone (973) 383-9898

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1372204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476835200000",
    "number": "1972943744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6901 W EDGERTON AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532204420",
            "telephone_number": "414-325-5244",
            "fax_number": "414-421-3772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 W EDGERTON AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532204420",
            "telephone_number": "414-325-5244",
            "fax_number": "414-421-3772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIGRI",
        "first_name": "SHAHID",
        "middle_name": "ALI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-26",
        "last_updated": "2016-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "06300",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "66177-20",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972943744",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.