Ijaz Shafi, MD, PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

015645 Issued in CT

Legal business name

IJAZ SHAFI, MD, PC

Practice address

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

Phone

(860) 224-7159

Fax

(860) 225-7122

NPI assigned

Feb 3, 2009

Last updated

Mar 29, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ijaz Shafi, M.D.NPI 1992788632

Title

President

Phone

(860) 224-7159

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ijaz Shafi, MD

  • Ophthalmology Physician
  • New Britain, CT
  • NPI 1992788632
  Medicare reassignment NPD Authorized official
• Kyle A Baker, M.D.

  • Obstetrics & Gynecology Physician
  • New Britain, CT
  • NPI 1922078948
  NPD (past)
• Kirsten Arkema Kibler, MD PHD

  • Obstetrics & Gynecology Physician
  • New Britain, CT
  • NPI 1154514099
  NPD (past)
• Gerard M Roy, M.D.

  • Obstetrics & Gynecology Physician
  • New Britain, CT
  • NPI 1992775910
  NPD (past)
• Leena Gautam Shah, M.D.

  • Gynecology Physician
  • New Britain, CT
  • NPI 1558415950
  NPD (past)
• Shannon Kokolus Shiel, M.D.

  • Obstetrics & Gynecology Physician
  • New Britain, CT
  • NPI 1215356316
  NPD (past)

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

{
    "created_epoch": "1233619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648512000000",
    "number": "1992943609",
    "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": {
        "organization_name": "IJAZ SHAFI, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-03",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A",
        "authorized_official_last_name": "SHAFI",
        "authorized_official_first_name": "IJAZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-224-7159",
        "authorized_official_credential": "M.D."
    },
    "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": []
}

• Alyssa Hunter
• Nancy E Hunter, LADC
• Dani Huntley, PA
• Bilal Hussain, PHARM D.
• Luz M Huyghue
• Aqsa Ijaz, MD
• Ramachandra Illindala, MD
• Lauren Incognito, LMSW
• Infinite Diagnostics LLC
• Mary Ann Ingriselli, LCSW

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.