SHEHNAZ WASIM MD
NPI 1023695566
Internal Medicine in Port Jefferson, NY

Active since March 29, 2021PECOS EnrolledAccepts Medicare Assignment
75 N COUNTRY RD, PORT JEFFERSON, NY 11777(631) 686-1443(631) 686-7651 Get Directions Write a Review

NPPES record last updated: September 4, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 4, 2024, Apr 3, 2021 (2 updates tracked since 2021).

About Shehnaz Wasim Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHEHNAZ WASIM MD (NPI 1023695566) is an individual internal medicine provider in Port Jefferson, New York, licensed in New York (330827-01) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, is affiliated with Long Island Jewish Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1023695566
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSHEHNAZ WASIMCredential: MD
Location Address75 N COUNTRY RDPort Jefferson, NY 11777-2190
Mailing Address75 N Country RdPort Jefferson, NY 11777-2190 · (631) 686-1443 · Fax (631) 686-7651
Fax(631) 686-7651
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 29, 2021
Last NPPES UpdateSeptember 4, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2024
NPI 1023695566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NY · 330827-01
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

75 N COUNTRY RD, Port Jefferson, NY 11777

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Shehnaz Wasim Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688115140
PECOS Enrollment IDI20240924002773
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
21 services17 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Long Island Jewish Medical Center

Acute Care Hospitals · New Hyde Park, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330195
Location270 - 05 76th AvenueNew Hyde Park, NY 11040 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11777 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Dermatology
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Student in an Organized Health Care Education/Training Program
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Physician Assistant
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Internal Medicine
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Nurse Practitioner (Family)
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Student in an Organized Health Care Education/Training Program
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Nurse Practitioner (Acute Care)
75 N COUNTRY RD
PORT JEFFERSON, NY 11777

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shehnaz Wasim's NPI number?

The NPI number for Shehnaz Wasim is 1023695566. It was assigned to this individual provider in the NPPES registry on March 29, 2021.

Where is Shehnaz Wasim located?

Shehnaz Wasim practices at 75 N Country Rd, Port Jefferson, NY 11777. The listed phone number is (631) 686-1443.

What is Shehnaz Wasim's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Shehnaz Wasim enrolled in Medicare?

Yes. Shehnaz Wasim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Shehnaz Wasim affiliated with any hospitals?

According to CMS data, Shehnaz Wasim is affiliated with Long Island Jewish Medical Center.

When was this NPI record last updated?

The NPPES record for Shehnaz Wasim was last updated on September 4, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.