Individual provider Active NPI

Ayaz Shaikh, MD

  • Plastic and Reconstructive Surgery Physician
  • Newburgh, IN
National Provider Identifier
1982673661
Registry record updated Jun 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
01065635A Issued in IN
Practice address
4233 Gateway Blvd
Newburgh, IN 47630-8900
Phone
(812) 426-9235
Fax
(812) 490-4512
NPI assigned
Mar 16, 2006
Last updated
Jun 28, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 85893 OH
Plastic and Reconstructive Surgery Physician 2086S0122X 036116242 IL
Plastic and Reconstructive Surgery Physician 2086S0122X 01065635A IN Primary

Addresses

Primary practice location

4233 Gateway Blvd
Newburgh, IN 47630-8900

Mailing address

PO Box 1510
Evansville, IN 47706-1510
Phone (812) 426-9235

Other practice location 1

1500 Salem St
Lafayette, IN 47904-2164
Phone (765) 448-8000

Other practice location 2

1500 Salem St
Lafayette, IN 47904-2164
Phone (765) 448-8000

Other identifiers 2

IdentifierTypeStateIssuer
000000585313OtherINANTHEM PROVIDER NUMBER
200916480MedicaidIN

Other names 1

  • Dr. Ayaz Sheikh Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20080925000683 IN Practitioner - Plastic and Reconstructive Surgery 1456323187 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
85893OHMDPlastic Surgery Physician
036116242ILMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Hospital, Inc CurrentSince Jan 1, 2018 Accepting new patients
Deaconess Clinic Inc CurrentSince Jul 1, 2018 Accepting new patients
Deaconess Hospital, Inc Current Accepting new patients
Deaconess Hospital Inc CurrentSince Jan 1, 2018 Accepting new patients
Ohio Valley Medical Center, LLC Current Accepting new patients
Deaconess Clinic Inc. CurrentSince Jul 1, 2018 Accepting new patients
Central Ohio Breast and Endocrine Surgery LLC PastSince Sep 5, 2021 Accepting new patients
McLaren Caro Region Past Accepting new patients

Locations

421 Chestnut St
Evansville, IN 47713
Phone (812) 426-6645

4600 W Lloyd Expy
Evansville, IN 47712
Phone (812) 450-6311

4233 Gateway Blvd
Newburgh, IN 47630
Phone (812) 474-7116

1204 Williams St
Oakland City, IN 47660
Phone (812) 749-6187

Interoperability endpoints

  • Direct secure messaging: ashaikh@direct.ovsurgical.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, 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": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530144000000",
    "number": "1982673661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1510",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477061510",
            "telephone_number": "812-426-9235",
            "fax_number": "812-490-4512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4233 GATEWAY BLVD",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476308900",
            "telephone_number": "812-426-9235",
            "fax_number": "812-490-4512"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Salem St",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "IN",
            "postal_code": "479042164",
            "country_code": "US",
            "telephone_number": "765-448-8000",
            "fax_number": "765-448-8684",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 Salem St",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "IN",
            "postal_code": "479042164",
            "country_code": "US",
            "telephone_number": "765-448-8000",
            "fax_number": "765-448-8684",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAIKH",
        "first_name": "AYAZ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2018-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "OH",
            "license": "85893",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "IL",
            "license": "036116242",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "IN",
            "license": "01065635A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "000000585313",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200916480",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AYAZ",
            "last_name": "SHEIKH",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Newburgh, IN

Sources for this page

Verify at the official NPI Registry.