SUMAIRA SHAFI MD
NPI 1164859278
Internal Medicine - Hematology & Oncology in Parkersburg, WV

Q: What is Sumaira Shafi's NPI number?

The NPI number for Sumaira Shafi is 1164859278. It was assigned to this individual provider in the NPPES registry on October 3, 2013.

Q: What is Sumaira Shafi's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sumaira Shafi was last updated on August 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since October 03, 2013PECOS EnrolledAccepts Medicare Assignment

94.1/100

CMS Quality Rating

800 GARFIELD AVE, PARKERSBURG, WV 26101(304) 424-2111 Get Directions Write a Review

NPPES record last updated: August 24, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 24, 2023, Nov 12, 2019, Nov 5, 2019 (3 updates tracked since 2019).

On this page

About Sumaira Shafi Md NPPES

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

SUMAIRA SHAFI MD (NPI 1164859278) is an individual hematology & oncology provider in Parkersburg, West Virginia, licensed in West Virginia (28904) and active in the NPI registry since October 2013. She is enrolled in Medicare PECOS, is affiliated with Camden Clark Medical Center, and maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1164859278

Entity TypeIndividualFemale

Primary Taxonomy207RH0003X

Provider Legal NameSUMAIRA SHAFICredential: MD

Location Address800 GARFIELD AVEParkersburg, WV 26101-5340

Mailing Address11511 Shadow Creek PkwyPearland, TX 77584-7298 · (713) 442-0000

Phone(304) 424-2111

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateOctober 3, 2013

Last NPPES UpdateAugust 24, 20233 updates tracked since enumeration

NPPES CertifiedAugust 24, 2023

✔ NPI 1164859278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

Licenses✔ Licensed in WV · 28904✔ Licensed in TX · U3647

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.

Also ListedInternal MedicineTaxonomy 207R00000X · License U3647 (TX)

800 GARFIELD AVE, Parkersburg, WV 26101

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Secondary Practice Location 1

Location 115655 Cypress Wood Medical Dr Ste 100Houston, TX 77014-1487 · Phone (713) 442-1700

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, UnitedHealthcare.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

Sumaira Shafi 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 ID4587992474

PECOS Enrollment IDI20230907003690

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.

Hospital Affiliations CMS Care Compare

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

Camden Clark Medical Center

Acute Care Hospitals · Parkersburg, WV

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510058

Location800 Garfield AveParkersburg, WV 26101 · Wood County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26101 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

$164.59 typical visit price

range $53.20 – $164.59

Typical copayment $41.14 (range $13.30 – $41.14)

Most-billed visit code 99205

Established Patient

$94.81 typical visit price

range $16.47 – $133.29

Typical copayment $23.70 (range $4.11 – $33.32)

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.

94.1/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

78.46

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 4

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

Capecitabine, oral, 150 mg J8520

Treatment-Treatment - Miscellaneous · category RX029N

1 supplier13 claims476 services$0.33 avg. paid by Medicare

Capecitabine, oral, 500 mg J8521

Treatment-Treatment - Miscellaneous · category RX029N

1 supplier22 claims2,054 services$0.73 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511

Treatment-Chemotherapy · category RH012N

1 supplier15 claims15 services$19.00 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512

Treatment-Chemotherapy · category RH012N

1 supplier18 claims18 services$12.70 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 20

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

JENNIFER BUTLER CRNA

Nurse Anesthetist, Certified Registered

800 GARFIELD AVE
PARKERSBURG, WV 26101

Wood County (304) 424-2111

SARAH RANDOLPH M.S., CCC/SLP

Speech-Language Pathologist

800 GARFIELD AVE
PARKERSBURG, WV 26101

Wood County (304) 424-2645

JUDY A COX CRNA

Nurse Anesthetist, Certified Registered

800 GARFIELD AVE
PARKERSBURG, WV 26101

Wood County (304) 424-2590

JULIE A PETTIT CRNA

Nurse Anesthetist, Certified Registered

800 GARFIELD AVE
PARKERSBURG, WV 26101

Wood County (304) 424-2590

DR. MICHAEL M DICKERSON M.D.

Emergency Medicine

800 GARFIELD AVE, HEALING CENTER AT CCMH
PARKERSBURG, WV 26101

Wood County (304) 424-2228

KRISTI BURDETTE

Pharmacist

800 GARFIELD AVE
PARKERSBURG, WV 26101

Wood County (304) 424-2120

ASWATHY MATHEWS MD

Student in an Organized Health Care Education/Training Program

800 GARFIELD AVE
PARKERSBURG, WV 26101

Wood County (304) 424-2777

KRISTINA L SULLIVAN CRNA

Nurse Anesthetist, Certified Registered

800 GARFIELD AVE
PARKERSBURG, WV 26101

Wood County (304) 424-2590

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 Sumaira Shafi's NPI number?

The NPI number for Sumaira Shafi is 1164859278. It was assigned to this individual provider in the NPPES registry on October 3, 2013.

Where is Sumaira Shafi located?

Sumaira Shafi practices at 800 Garfield Ave, Parkersburg, WV 26101. The listed phone number is (304) 424-2111.

What is Sumaira Shafi's specialty?

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

Is Sumaira Shafi enrolled in Medicare?

Yes. Sumaira Shafi 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 Sumaira Shafi accept?

Health plans from CareSource and UnitedHealthcare list Sumaira Shafi 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 Sumaira Shafi affiliated with any hospitals?

According to CMS data, Sumaira Shafi is affiliated with Camden Clark Medical Center.

When was this NPI record last updated?

The NPPES record for Sumaira Shafi was last updated on August 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.