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ARSHAD RASHID SHAIKH M.D.
NPI 1093913220
Internal Medicine - Hematology & Oncology in Freeport, IL

Active since July 10, 2007PECOS EnrolledAccepts Medicare Assignment
86.72/100
CMS Quality Rating
1163 W STEPHENSON ST, FREEPORT, IL 61032(815) 599-7000(815) 599-7091 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Oct 25, 2017 (2 updates tracked since 2017).

About Arshad Rashid Shaikh M.d. NPPES

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

ARSHAD RASHID SHAIKH M.D. (NPI 1093913220) is an individual hematology & oncology provider in Freeport, Illinois, licensed in Illinois (036-118912) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Fhn Memorial Hospital, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1093913220
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameARSHAD RASHID SHAIKHCredential: M.D.
Location Address1163 W STEPHENSON STFreeport, IL 61032-4866
Mailing Address421 W Exchange StFreeport, IL 61032-4008 · (815) 599-7950
Phone(815) 599-7000
Fax(815) 599-7091
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJuly 10, 2007
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1093913220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in IL · 036-118912
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
1163 W STEPHENSON ST, Freeport, IL 61032
Open in Google Maps ↗

Other Identifiers 1

Medicaid036118912IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include MercyCare, MercyCare Health Plans, Quartz.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Arshad Rashid 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 ID6103918131
PECOS Enrollment IDI20070822001279
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Arshad Shaikh reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Freeport Regional Health Care Foundation
Same address
Family Medicine
1036 W STEPHENSON ST
Freeport, IL 61032
  • Reassigned Medicare billing, Illinois enrollment
  • 391 clinicians in this Medicare group
NPI 1457337016 (815) 599-6000
Freeport Memorial Hospital
0.1 mi
General Acute Care Hospital
1045 W STEPHENSON ST
Freeport, IL 61032
  • Reassigned Medicare billing, Illinois enrollment
  • 478 clinicians in this Medicare group
NPI 1447228788 (815) 599-6000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
297 services49 patients
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.
138 services96 patients
Ct guidance for insertion of radiation therapy fields 77014
CT guidance for insertion of radiation therapy fields involves using a CT scan to accurately map the area of your body where radiation will be applied. This ensures the radiation targets only the necessary area, minimizing impact to healthy tissues.
133 services26 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.
132 services110 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
29 services29 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
28 services26 patients

Hospital Affiliations CMS Care Compare 2

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

Fhn Memorial Hospital

Acute Care Hospitals · Freeport, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140160
Location1045 West Stephenson StreetFreeport, IL 61032 · Stephenson County
Emergency services Birthing friendly

Javon Bea Hospital

Acute Care Hospitals · Rockford, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140239
Location8201 E Riverside BlvdRockford, IL 61114 · Winnebago County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61032 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
$168.44 typical visit price
range $54.80 – $168.44
Typical copayment $42.11 (range $13.70 – $42.11)
Most-billed visit code 99205
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

86.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.48
Improvement Activities40
Cost64.04

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222
DME-Medical/Surgical Supplies · category DA000N
1 supplier26 claims31 services$37.88 avg. paid by Medicare
Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient E0781
DME-Other DME · category DE000N
1 supplier20 claims21 services$196.99 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

DR. TAMER REFAAT MD PHD MSCI
Radiology (Radiation Oncology)
1163 W STEPHENSON ST
FREEPORT, IL 61032
Stephenson County (815) 599-7040
FREEPORT REGIONAL HEALTH CARE SERVICES
Clinic/Center (Oncology, Radiation)
1163 W STEPHENSON ST
FREEPORT, IL 61032
Stephenson County (815) 599-7000
FREEPORT REGIONAL HEALTH CARE FOUNDATION
Durable Medical Equipment & Medical Supplies
1163 W STEPHENSON ST
FREEPORT, IL 61032
Stephenson County (815) 599-7000
FREEPORT REGIONAL HEALTH CARE SERVICES
Durable Medical Equipment & Medical Supplies
1163 W STEPHENSON ST
FREEPORT, IL 61032
Stephenson County (815) 599-7000

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 Arshad Shaikh's NPI number?

The NPI number for Arshad Shaikh is 1093913220. It was assigned to this individual provider in the NPPES registry on July 10, 2007.

Where is Arshad Shaikh located?

Arshad Shaikh practices at 1163 W Stephenson St, Freeport, IL 61032. The listed phone number is (815) 599-7000.

What is Arshad Shaikh's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Arshad Shaikh enrolled in Medicare?

Yes. Arshad 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.

Which organizations bill Medicare for Arshad Shaikh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Arshad Shaikh reassigns Medicare benefits to 2 organizations: Freeport Regional Health Care Foundation (Freeport, IL) and Freeport Memorial Hospital (Freeport, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Arshad Shaikh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Arshad Shaikh accept?

Health plans from MercyCare, MercyCare Health Plans and Quartz list Arshad 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 Arshad Shaikh affiliated with any hospitals?

According to CMS data, Arshad Shaikh is affiliated with Fhn Memorial Hospital and Javon Bea Hospital.

When was this NPI record last updated?

The NPPES record for Arshad Shaikh was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.