DR. SOHAIL N SHAIKH M.D.
NPI 1033373493
Internal Medicine - Gastroenterology in Boynton Beach, FL

Active since July 15, 2008PECOS EnrolledAccepts Medicare Assignment
82.63/100
CMS Quality Rating
2800 S SEACREST BLVD STE 240, BOYNTON BEACH, FL 33435(561) 732-2900(561) 413-3961 Get Directions Write a Review

NPPES record last updated: October 17, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Sohail N Shaikh M.d. NPPES

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

DR. SOHAIL N SHAIKH M.D. (NPI 1033373493) is an individual gastroenterology provider in Boynton Beach, Florida, licensed in Florida (ME133113) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Bethesda Hospital Inc, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1033373493
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. SOHAIL N SHAIKHCredential: M.D.
Location Address2800 S SEACREST BLVD STE 240Boynton Beach, FL 33435-7946
Mailing AddressPo Box 740177Boynton Beach, FL 33474-0177 · (561) 740-2900 · Fax (561) 434-4618
Fax(561) 413-3961
Sole ProprietorYes
Medical School CMSOtherGraduated 1999
Enumeration DateJuly 15, 2008
Last NPPES UpdateOctober 17, 2017
NPI 1033373493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses Licensed in FL · ME133113 Licensed in NJ · 25MA07916100
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
2800 S SEACREST BLVD STE 240, Boynton Beach, FL 33435

Accepted Insurance

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

Dr. Sohail N Shaikh M.d. 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 ID1658419379
PECOS Enrollment IDI20171011000826
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 5

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
127 services79 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
32 services31 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
25 services25 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
24 services23 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Bethesda Hospital Inc

Acute Care Hospitals · Boynton Beach, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100002
Location2815 S Seacrest BlvdBoynton Beach, FL 33435 · Palm Beach County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33435 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.96
Promoting Interoperability100
Improvement Activities40
Cost67.14

Other Providers at the Same Location NPPES 3

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

Internal Medicine (Gastroenterology)
2800 S SEACREST BLVD STE 240
BOYNTON BEACH, FL 33435
Internal Medicine (Gastroenterology)
2800 S SEACREST BLVD STE 240
BOYNTON BEACH, FL 33435
Nurse Practitioner (Primary Care)
2800 S SEACREST BLVD STE 240
BOYNTON BEACH, FL 33435

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 Sohail Shaikh's NPI number?

The NPI number for Sohail Shaikh is 1033373493. It was assigned to this individual provider in the NPPES registry on July 15, 2008.

Where is Sohail Shaikh located?

Sohail Shaikh practices at 2800 S Seacrest Blvd Ste 240, Boynton Beach, FL 33435. The listed phone number is (561) 732-2900.

What is Sohail Shaikh's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Sohail Shaikh enrolled in Medicare?

Yes. Sohail Shaikh 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.

What insurance does Sohail Shaikh accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Oscar Health Maintenance Organization of Florida and 2 other insurers list Sohail Shaikh as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Sohail Shaikh affiliated with any hospitals?

According to CMS data, Sohail Shaikh is affiliated with Bethesda Hospital Inc.

When was this NPI record last updated?

The NPPES record for Sohail Shaikh was last updated on October 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.