SHAKUR ALI SOBHAN PA-C
NPI 1053713180
Physician Assistant in Beckley, WV

Active since September 19, 2014PECOS EnrolledAccepts Medicare Assignment
97.4/100
CMS Quality Rating
405 CARRIAGE DR, BECKLEY, WV 25801(304) 250-0226 Get Directions Write a Review

NPPES record last updated: September 19, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shakur Ali Sobhan Pa-c NPPES

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

SHAKUR ALI SOBHAN PA-C (NPI 1053713180) is an individual physician assistant in Beckley, West Virginia, licensed in West Virginia (01842) and active in the NPI registry since September 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1053713180
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSHAKUR ALI SOBHANCredential: PA-C
Location Address405 CARRIAGE DRBeckley, WV 25801-2805
Mailing Address405 Carriage DrBeckley, WV 25801-2805
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateSeptember 19, 2014
NPI 1053713180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in WV · 01842
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
405 CARRIAGE DR, Beckley, WV 25801

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

Shakur Ali Sobhan Pa-c 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 ID5991021305
PECOS Enrollment IDI20150302002417
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25801 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
Most-billed visit code 99213
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.

97.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.55
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

Obstetrics & Gynecology
405 CARRIAGE DR
BECKLEY, WV 25801

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 Shakur Sobhan's NPI number?

The NPI number for Shakur Sobhan is 1053713180. It was assigned to this individual provider in the NPPES registry on September 19, 2014.

Where is Shakur Sobhan located?

Shakur Sobhan practices at 405 Carriage Dr, Beckley, WV 25801. The listed phone number is (304) 250-0226.

What is Shakur Sobhan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Shakur Sobhan enrolled in Medicare?

Yes. Shakur Sobhan 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 Shakur Sobhan accept?

Health plans from CareSource list Shakur Sobhan 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.

When was this NPI record last updated?

The NPPES record for Shakur Sobhan was last updated on September 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.