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KHASHAYAR SHAKIBA MD
NPI 1114121571
Obstetrics & Gynecology in Paramus, NJ

Active since June 12, 2007PECOS Enrolled
8.32/100
CMS Quality Rating
1 KALISA WAY STE 103, PARAMUS, NJ 07652(201) 301-2772(201) 882-8422 Get Directions Write a Review

NPPES record last updated: November 2, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Khashayar Shakiba Md NPPES

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

KHASHAYAR SHAKIBA MD (NPI 1114121571) is an individual obstetrics & gynecology provider in Paramus, New Jersey, licensed in New Jersey (25MA08288700) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Hackensack University Medical Center, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1114121571
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameKHASHAYAR SHAKIBACredential: MD
Location Address1 KALISA WAY STE 103Paramus, NJ 07652-3508
Mailing Address173 Highland AveRidgewood, NJ 07450-4001 · (201) 301-2772 · Fax (201) 882-8422
Phone(201) 301-2772
Fax(201) 882-8422
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateJune 12, 2007
Last NPPES UpdateNovember 2, 2010
✔ NPI 1114121571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NJ · 25MA08288700
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1 KALISA WAY STE 103, Paramus, NJ 07652
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Other Identifiers 1

Medicare PIN117463W9XNJ

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Khashayar Shakiba Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5193812576
PECOS Enrollment IDI20071101000191
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 Reassignment

Medicare enrollment records show Khashayar Shakiba reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Women's Pelvic Surgery Of North Jersey, LLC
0.1 mi
Medical Specialty
1 KALISA WAY STE 103
Paramus, NJ 07652
  • Reassigned Medicare billing, New Jersey enrollment
  • 3 clinicians in this Medicare group
NPI 1417243197 (201) 301-2772

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 4

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 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.
164 services81 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.
50 services28 patients
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care G0283
Electrical stimulation is a therapy method where mild electrical pulses are used to treat pain or stimulate muscles in certain areas. It's not for wound care but is part of a broader therapy plan. It's safe, non-invasive, and can help improve overall health.
34 services11 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.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Hackensack University Medical Center

Acute Care Hospitals · Hackensack, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310001
Location30 Prospect AveHackensack, NJ 07601 · Bergen County
Emergency services Birthing friendly

Englewood Hospital And Medical Center

Acute Care Hospitals · Englewood, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310045
Location350 Engle StEnglewood, NJ 07631 · Bergen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07652 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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.

8.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost27.75

Other Providers at the Same Location NPPES

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

WOMEN'S PELVIC SURGERY OF NORTH JERSEY, LLC
Clinic/Center (Medical Specialty)
1 KALISA WAY STE 103
PARAMUS, NJ 07652
Bergen County (201) 301-2772

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 Khashayar Shakiba's NPI number?

The NPI number for Khashayar Shakiba is 1114121571. It was assigned to this individual provider in the NPPES registry on June 12, 2007.

Where is Khashayar Shakiba located?

Khashayar Shakiba practices at 1 Kalisa Way Ste 103, Paramus, NJ 07652. The listed phone number is (201) 301-2772.

What is Khashayar Shakiba's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Khashayar Shakiba enrolled in Medicare?

Yes. Khashayar Shakiba is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Khashayar Shakiba's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Khashayar Shakiba reassigns Medicare benefits to Women's Pelvic Surgery Of North Jersey, LLC (Paramus, NJ). The 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 Khashayar Shakiba's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Khashayar Shakiba affiliated with any hospitals?

According to CMS data, Khashayar Shakiba is affiliated with Hackensack University Medical Center and Englewood Hospital And Medical Center.

When was this NPI record last updated?

The NPPES record for Khashayar Shakiba was last updated on November 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.