Ijaz Shafi, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

015645 Issued in CT

Practice address

1 Grove St
2ND Floor
New Britain, CT 06053-4116

Phone

(860) 224-7159

Fax

(860) 225-7122

NPI assigned

Nov 28, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Other, 1961

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Ijaz Shafi, MD, PC

  • Ophthalmology Physician
  • New Britain, CT
  • NPI 1992943609
  Medicare reassignment NPD Authorized official
• Constitution Eye Surgery Center LLC

  • Ophthalmologic Surgery Clinic/Center
  • Newington, CT
  • NPI 1710904537
  NPD (past)

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1992788632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GROVE ST",
            "address_2": "2ND FLOOR",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060534116",
            "telephone_number": "860-224-7159",
            "fax_number": "860-225-7122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GROVE ST",
            "address_2": "2ND FLOOR",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060534116",
            "telephone_number": "860-224-7159",
            "fax_number": "860-225-7122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFI",
        "first_name": "IJAZ",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-28",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CT",
            "license": "015645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008008150",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "010015645CT01",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kibeom Seo, DDS
• Neil N Seong, MD
• Luis A Serazo, PA-C
• Martin C Seremet, M.D.
• Elizabeth Sesto, LPC
• Bijal Shah
• Leena Gautam Shah, M.D.
• Parth S Shah, MD
• Ghalib Shaikh
• Sharing Solutions Services LLC

• Ophthalmology Physician in New Britain, CT
• Providers in New Britain, CT by specialty
• Ophthalmology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; 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.