MADEEHA SHAMS M.D.
NPI 1194138131
Internal Medicine - Infectious Disease in Ellicott City, MD

Active since June 07, 2014PECOS EnrolledAccepts Medicare Assignment
80.17/100
CMS Quality Rating
2850 N RIDGE RD, ELLICOTT CITY, MD 21043(410) 418-8550(410) 418-8552 Get Directions Write a Review

NPPES record last updated: December 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Madeeha Shams M.d. NPPES

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

MADEEHA SHAMS M.D. (NPI 1194138131) is an individual infectious disease provider in Ellicott City, Maryland, licensed in Maryland (D0087775) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, is affiliated with Saint Agnes Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1194138131
Entity TypeIndividualFemale
Primary Taxonomy207RI0200X
Provider Legal NameMADEEHA SHAMSCredential: M.D.
Location Address2850 N RIDGE RDEllicott City, MD 21043-3464
Mailing Address2850 N Ridge RdEllicott City, MD 21043-3464 · (410) 418-8550 · Fax (410) 418-8552
Fax(410) 418-8552
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateJune 7, 2014
Last NPPES UpdateDecember 16, 2024
NPPES CertifiedDecember 16, 2024
NPI 1194138131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License Licensed in MD · D0087775
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Also ListedHospitalistTaxonomy 208M00000X · License 44646 (OK)
2850 N RIDGE RD, Ellicott City, MD 21043

Secondary Practice Locations 4

Location 15501 Old York Rd, Albert Einstein Medical CenterPhiladelphia, PA 19141-3018 · Phone (215) 456-8520
Location 210501 E 91st StTulsa, OK 74133-5790 · Phone (918) 502-1900 · Fax (918) 494-6303
Location 3300 Rockefeller DrMuskogee, OK 74401-5075 · Phone (918) 502-1900 · Fax (918) 494-6303
Location 46161 S Yale AveTulsa, OK 74136-1902 · Phone (918) 502-1900 · Fax (918) 494-6303

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

Madeeha Shams 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 ID749555688
PECOS Enrollment IDI20191031000093
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.

Areas of Expertise CMS Part B claims 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
123 services70 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
116 services73 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
58 services57 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
32 services21 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
29 services29 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Saint Agnes Hospital

Acute Care Hospitals · Baltimore, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number210011
Location900 Caton AvenueBaltimore, MD 21229 · Baltimore City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21043 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

80.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.69
Promoting Interoperability100
Improvement Activities40
Cost53.49

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.

Home Health
2850 N RIDGE RD, SUITE 2074
ELLICOTT CITY, MD 21043
Clinic/Center (Ambulatory Surgical)
2850 N RIDGE RD
ELLICOTT CITY, MD 21043
Point of Service
2850 N RIDGE RD, SUITE 207A
ELLICOTT CITY, MD 21043
Orthopaedic Surgery (Sports Medicine)
2850 N RIDGE RD
ELLICOTT CITY, MD 21043
Pediatrics
2850 N RIDGE RD, STE 203
ELLICOTT CITY, MD 21043
Internal Medicine (Infectious Disease)
2850 N RIDGE RD, 102
ELLICOTT CITY, MD 21043
Radiology (Vascular & Interventional Radiology)
2850 N RIDGE RD
ELLICOTT CITY, MD 21043
Internal Medicine (Infectious Disease)
2850 N RIDGE RD, SUITE 203
ELLICOTT CITY, MD 21043

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 Madeeha Shams's NPI number?

The NPI number for Madeeha Shams is 1194138131. It was assigned to this individual provider in the NPPES registry on June 7, 2014.

Where is Madeeha Shams located?

Madeeha Shams practices at 2850 N Ridge Rd, Ellicott City, MD 21043. The listed phone number is (410) 418-8550.

What is Madeeha Shams's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Madeeha Shams enrolled in Medicare?

Yes. Madeeha Shams 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 Madeeha Shams accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Madeeha Shams 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 Madeeha Shams affiliated with any hospitals?

According to CMS data, Madeeha Shams is affiliated with Saint Agnes Hospital.

When was this NPI record last updated?

The NPPES record for Madeeha Shams was last updated on December 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.