SHAKER SAMIH QAQISH MD
NPI 1184914723
Internal Medicine - Nephrology in North Little Rock, AR

Q: What is Shaker Qaqish's NPI number?

The NPI number for Shaker Qaqish is 1184914723. It was assigned to this individual provider in the NPPES registry on April 16, 2011.

Q: What is Shaker Qaqish's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Shaker Qaqish was last updated on June 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 April 16, 2011PECOS Enrolled

100/100

CMS Quality Rating

11771 MAUMELLE BLVD, NORTH LITTLE ROCK, AR 72113(501) 204-0302(501) 573-4111 Get Directions Write a Review

NPPES record last updated: June 8, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 8, 2023, Nov 1, 2019, Jan 7, 2019 and 2 more (5 updates tracked since 2017).

On this page

About Shaker Samih Qaqish Md NPPES

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

SHAKER SAMIH QAQISH MD (NPI 1184914723) is an individual nephrology provider in North Little Rock, Arkansas, licensed in Arkansas (E-16018) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1184914723

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameSHAKER SAMIH QAQISHCredential: MD

Location Address11771 MAUMELLE BLVDNorth Little Rock, AR 72113

Mailing Address11771 Maumelle BlvdNorth Little Rock, AR 72113-6558 · (501) 204-0302 · Fax (501) 573-4111

Phone(501) 204-0302

Fax(501) 573-4111

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateApril 16, 2011

Last NPPES UpdateJune 8, 20235 updates tracked since enumeration

NPPES CertifiedJune 8, 2023

✔ NPI 1184914723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

Licenses✔ Licensed in AR · E-16018✔ Licensed in NY · 301234✔ Licensed in MI · 4301114410✔ Licensed in CA · A126465

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Also ListedInternal MedicineTaxonomy 207R00000X · License 301234 (NY), 4301114410 (MI), A126465 (CA)

Also ListedSurgeryTaxonomy 208600000X · License 301234 (NY)

11771 MAUMELLE BLVD, North Little Rock, AR 72113

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shaker Samih Qaqish Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3577781830

PECOS Enrollment IDI20230615001219

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

Medicare enrollment records show Shaker Qaqish reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Central Arkansas Vascular & Dialysis Access Center, LLC

Same address

Ambulatory Surgical

11771 MAUMELLE BLVD
North Little Rock, AR 72113

Reassigned Medicare billing, Arkansas enrollment

NPI 1952000309 (501) 204-0302

Dr. Shaker Ltd.

Same address

Nephrology

11771 MAUMELLE BLVD
North Little Rock, AR 72113

Reassigned Medicare billing, Arkansas enrollment

NPI 1407546518 (501) 204-0302

Preferred Vascular Services Northwest, LLC

452 mi

Vascular Surgery

711 CANTON RD NE STE 220
Marietta, GA 30060

Reassigned Medicare billing, Georgia enrollment
18 clinicians in this Medicare group

NPI 1598037822 (404) 554-2196

Preferred Vascular Services Southwest

458 mi

Vascular Surgery

3885 PRINCETON LAKES WAY SW STE 314
Atlanta, GA 30331

Reassigned Medicare billing, Georgia enrollment
18 clinicians in this Medicare group

NPI 1790285229 (404) 349-7770

Preferred Vascular Services Northeast

462 mi

Vascular Surgery

1 DUNWOODY PARK STE 140
Atlanta, GA 30338

Reassigned Medicare billing, Georgia enrollment
18 clinicians in this Medicare group

NPI 1780184218 (404) 554-2080

Preferred Vascular Services Southeast LLC

477 mi

Vascular Surgery

5461 HILLANDALE DR STE 210
Lithonia, GA 30058

Reassigned Medicare billing, Georgia enrollment
17 clinicians in this Medicare group

NPI 1861992976 (770) 981-8477

Preferred Vascular Services Macon LLC

522 mi

Vascular Surgery

889 2ND ST
Macon, GA 31201

Reassigned Medicare billing, Georgia enrollment
18 clinicians in this Medicare group

NPI 1437659455 (478) 254-9363

Preferred Vascular Services Cleveland LLC

748 mi

Vascular Surgery

23650 COMMERCE PARK STE A
Beachwood, OH 44122

Reassigned Medicare billing, Ohio enrollment
10 clinicians in this Medicare group

NPI 1346734365 (216) 273-8010

Provider Profile

1,083 mi

Vascular Surgery

2502 AVENUE I
Brooklyn, NY 11210

Reassigned Medicare billing, New York enrollment
6 clinicians in this Medicare group

NPI 1275508954 (718) 258-3004

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 35

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.

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

293 services158 patients

Ultrasonic guidance for blood vessel access 76937

Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.

283 services154 patients

Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist 36902

This procedure involves inserting a needle or tube into your hemodialysis circuit, a system that cleans your blood when your kidneys can't. A balloon is then used to widen a narrow section of this circuit. A radiologist reviews the procedure to ensure accuracy.

160 services113 patients

Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes 99153

This service involves a physician administering medication to lower your consciousness during a procedure. It's done for your comfort and safety. The drug's effects last about 15 minutes, so additional doses may be given as needed.

153 services58 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

133 services96 patients

Ultrasonic guidance for blood vessel access 76937

130 services92 patients

Insertion of tube into chest or arm artery, each first order branch 36215

This procedure involves placing a thin tube into a chest or arm artery. It is done to monitor blood pressure, take blood samples, or deliver medications. The tube may also be inserted into each first order branch, which are the initial divisions of the main artery.

82 services55 patients

Review by radiologist of arm or leg artery image 75710

This procedure involves a radiologist examining images of your arm or leg arteries. These images are obtained through a non-invasive method, like an ultrasound or CT scan. The radiologist reviews these images to identify any abnormalities, such as blockages or narrowing, which can affect blood flow.

75 services49 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.

69 services51 patients

Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist 36902

68 services56 patients

Balloon dilation of dialysis segment with review by radiologist 36907

Balloon dilation of a dialysis segment is a procedure where a tiny balloon is inserted and inflated in a narrowed area of your dialysis access site, improving blood flow. A radiologist reviews images to ensure success.

67 services48 patients

Fluoroscopic guidance for insertion or removal of central vein access device 77001

Fluoroscopic guidance for central vein access device insertion or removal is a procedure where a special X-ray, called a fluoroscope, is used to help accurately place or remove a device in a central vein. This device aids in delivering medications or collecting blood samples.

50 services41 patients

Insertion of tube into chest or arm artery, each first order branch 36215

49 services37 patients

Insertion of needle and/or tube into hemodialysis circuit and insertion of stent in dialysis segment with review by radiologist 36903

This procedure involves placing a needle or tube into your hemodialysis circuit, a system used to clean your blood when kidneys are not working properly. A stent, a small tube, is then inserted into the dialysis segment to keep it open. A radiologist reviews the process to ensure accuracy.

47 services40 patients

Removal of tunneled central venous tube 36589

A tunneled central venous tube removal is a procedure to take out a long, thin tube that was previously placed in a large vein in your body. This tube helps deliver medication or nutrition. The removal is usually quick and done under local anesthesia.

46 services46 patients

Review by radiologist of arm or leg artery image 75710

45 services34 patients

Balloon dilation of dialysis segment with review by radiologist 36907

39 services34 patients

Injection, alteplase recombinant, 1 mg J2997

Alteplase recombinant is a medication given by injection. It's a clot-busting drug used to treat conditions like strokes or heart attacks by dissolving blood clots that block blood flow. The dose is typically 1 mg. It's crucial to administer it quickly after symptoms appear.

36 services15 patients

Ultrasound of hemodialysis access 93990

An ultrasound of hemodialysis access is a non-invasive procedure that uses sound waves to create images of your dialysis access site. It helps monitor the access site's health and detect any potential issues like blockages or narrowing.

34 services27 patients

Replacement of tunneled central venous tube 36581

A tunneled central venous tube replacement is a procedure where an existing tube, used to deliver medication or nutrition directly to a large vein, is replaced. This is done under local anesthesia and involves inserting a new tube through a small incision.

29 services23 patients

Fluoroscopic guidance for insertion or removal of central vein access device 77001

25 services22 patients

Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment and placement of stent with review by radiologist 36906

This is a procedure to improve your dialysis treatment. If a blood clot blocks your dialysis circuit, it's removed or dissolved. If the dialysis segment is narrow, a balloon is used to widen it. Sometimes, a stent is placed to keep it open. A radiologist reviews all these steps to ensure accuracy.

24 services15 patients

Insertion of needle and/or tube into hemodialysis circuit with review by radiologist 36901

This procedure involves inserting a needle or tube into your hemodialysis circuit, which is part of the system that cleans your blood when your kidneys can't. A radiologist, a doctor specialized in imaging techniques, will review the process to ensure everything is correct.

23 services19 patients

Permanent blockage of hemodialysis circuit with review by radiologist 36909

This is a procedure where a radiologist reviews the permanent blockage of your hemodialysis circuit. Hemodialysis is a treatment that uses a machine to clean your blood when your kidneys can't. A blockage can prevent this process, which may need review or intervention.

21 services15 patients

Insertion of tunneled central venous tube for infusion (5 years or older) 36558

The insertion of a tunneled central venous tube is a procedure where a thin, flexible tube is placed into a large vein, usually in the neck or chest. This tube allows healthcare providers to give medications, fluids, or nutrients directly into your bloodstream over a longer period.

19 services19 patients

Ultrasound of hemodialysis access 93990

19 services17 patients

Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment and placement of stent with review by radiologist 36906

18 services13 patients

Replacement of tunneled central venous tube 36581

17 services15 patients

Balloon dilation of artery with review by radiologist, initial artery 37246

Balloon dilation of an artery is a procedure where a small balloon is inserted into a narrowed artery and inflated to widen it. This improves blood flow. A radiologist reviews the procedure to ensure its success. It's typically the first artery treated.

16 services14 patients

Removal of tunneled central venous tube 36589

15 services15 patients

Insertion of needle and/or tube into hemodialysis circuit and insertion of stent in dialysis segment with review by radiologist 36903

15 services15 patients

Tying or banding of surgically created artery-vein connection 37607

This procedure involves placing a band or tie around an artery-vein connection that was surgically created. The banding helps regulate blood flow, preventing complications like high blood pressure in the connection. It's a routine, safe procedure performed by healthcare professionals.

15 services14 patients

Other procedure on blood vessel 37799

"Other procedures on blood vessels" refers to various medical interventions aimed at restoring or improving blood flow through the body's vessels. This can involve repair, removal, or rerouting of vessels, often to treat conditions like blockages or aneurysms. These procedures can be minimally invasive or require surgery.

14 services11 patients

Complete ultrasound of artery and vein blood flow pre-op assessment on side of body for hemodialysis access 93986

This procedure involves using ultrasound technology to evaluate the blood flow in your arteries and veins prior to a hemodialysis access operation. It helps ensure the selected site is suitable for creating a reliable access for dialysis treatment.

12 services12 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.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72113 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

$119.36 typical visit price

range $51.36 – $157.74

Typical copayment $29.84 (range $12.84 – $39.43)

Most-billed visit code 99204

Established Patient

$91.63 typical visit price

range $16.16 – $128.77

Typical copayment $22.90 (range $4.04 – $32.19)

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.

100/100

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

Scored as part of a group practice

Quality

95.21

Improvement Activities

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.

CAVC LLC

Clinic/Center (Ambulatory Surgical)

11771 MAUMELLE BLVD
NORTH LITTLE ROCK, AR 72113

Pulaski County (501) 321-9803

DR. SHAKER LTD.

Internal Medicine (Nephrology)

11771 MAUMELLE BLVD
NORTH LITTLE ROCK, AR 72113

Pulaski County (501) 204-0302

CENTRAL ARKANSAS VASCULAR & DIALYSIS ACCESS CENTER, LLC

Clinic/Center (Ambulatory Surgical)

11771 MAUMELLE BLVD
NORTH LITTLE ROCK, AR 72113

Pulaski County (501) 204-0302

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 Shaker Qaqish's NPI number?

The NPI number for Shaker Qaqish is 1184914723. It was assigned to this individual provider in the NPPES registry on April 16, 2011.

Where is Shaker Qaqish located?

Shaker Qaqish practices at 11771 Maumelle Blvd, North Little Rock, AR 72113. The listed phone number is (501) 204-0302.

What is Shaker Qaqish's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Shaker Qaqish enrolled in Medicare?

Yes. Shaker Qaqish is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Shaker Qaqish's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shaker Qaqish reassigns Medicare benefits to 9 organizations: Central Arkansas Vascular & Dialysis Access Center, LLC (North Little Rock, AR), Dr. Shaker Ltd. (North Little Rock, AR), Preferred Vascular Services Northwest, LLC (Marietta, GA), Preferred Vascular Services Southwest (Atlanta, GA), Preferred Vascular Services Northeast (Atlanta, GA) and 4 more organizations, listed in the Medicare section above. 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 Shaker Qaqish's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shaker Qaqish accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 6 other insurers list Shaker Qaqish 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 Shaker Qaqish was last updated on June 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.