Active NPI
Ayaz Shaikh, MD
- Plastic and Reconstructive Surgery Physician
- Newburgh, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 01065635A
- 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, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000585313 | Other | IN | ANTHEM PROVIDER NUMBER |
| 200916480 | Medicaid | IN |
Other names 1
- Dr. Ayaz Sheikh
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 85893 | OH | MD | Plastic Surgery Physician |
| 036116242 | IL | MD | Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deaconess Hospital, Inc | Current | Accepting new patients | |
| Deaconess Clinic Inc | Current | Accepting new patients | |
| Deaconess Hospital, Inc | Current | Accepting new patients | |
| Deaconess Hospital Inc | Current | Accepting new patients | |
| Ohio Valley Medical Center, LLC | Current | Accepting new patients | |
| Deaconess Clinic Inc. | Current | Accepting new patients | |
| Central Ohio Breast and Endocrine Surgery LLC | Past | 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
- 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.
-
dba Deaconess Care Group
- Hospitalist Physician
- Evansville, IN
- NPI 1427097443
-
- Pediatrics Physician
- Washington, IN
- NPI 1356132310
-
- Internal Medicine Physician
- Evansville, IN
- NPI 1619123585
-
- Mental Health Counselor
- Evansville, IN
- NPI 1508723552
-
dba Deaconess Pain Clinic
- Pain Medicine Physician
- Evansville, IN
- NPI 1013222322
-
- General Acute Care Hospital
- Springfield, OH
- NPI 1538304050
-
- Surgery Physician
- Gahanna, OH
- NPI 1073063145
-
- Critical Access Hospital
- Caro, MI
- NPI 1073568978
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.