DR. ASAD SHAFIQ M.D,
NPI 1245662428
Internal Medicine - Nephrology in Wilkes Barre, PA

Active since July 30, 2013PECOS EnrolledAccepts Medicare Assignment
1000 E MOUNTAIN DR, WILKES BARRE, PA 18711(570) 808-4047(570) 808-4051 Get Directions Write a Review

NPPES record last updated: July 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 8, 2022, Mar 20, 2021, Aug 30, 2019 and 1 more (4 updates tracked since 2018).

About Dr. Asad Shafiq M.d, NPPES

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

DR. ASAD SHAFIQ M.D, (NPI 1245662428) is an individual nephrology provider in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (MD468090) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS, is affiliated with Geisinger-community Medical Center, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1245662428
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. ASAD SHAFIQCredential: M.D,
Location Address1000 E MOUNTAIN DRWilkes Barre, PA 18711-0027
Mailing Address100 N Academy AveDanville, PA 17822-4903 · (570) 271-6144 · Fax (570) 271-6578
Fax(570) 808-4051
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJuly 30, 2013
Last NPPES UpdateJuly 8, 20224 updates tracked since enumeration
NPPES CertifiedJuly 8, 2022
NPI 1245662428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses Licensed in PA · MD468090 Licensed in WV · 28099
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.
1000 E MOUNTAIN DR, Wilkes Barre, PA 18711

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

Dr. Asad Shafiq 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 ID6709185804
PECOS Enrollment IDI20190927002353
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 10

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 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.
168 services129 patients
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.
157 services73 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
80 services13 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
48 services16 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.
48 services48 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
46 services45 patients

Hospital Affiliations CMS Care Compare 3

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

Geisinger-Community Medical Center

Acute Care Hospitals · Scranton, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390001
Location1822 Mulberry StreetScranton, PA 18510 · Lackawanna County
Emergency services Birthing friendly

Geisinger Medical Center

Acute Care Hospitals · Danville, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390006
Location100 North Academy AvenueDanville, PA 17822 · Montour County
Emergency services Birthing friendly

Geisinger Wyoming Valley Medical Center

Acute Care Hospitals · Wilkes Barre, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390270
Location1000 East Mountain BoulevardWilkes Barre, PA 18711 · Luzerne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18711 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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.

Internal Medicine (Pulmonary Disease)
1000 E MOUNTAIN DR, PULMONARY DEPARTMENT
WILKES BARRE, PA 18711
Hospitalist
1000 E MOUNTAIN DR
WILKES BARRE, PA 18711
Emergency Medicine
1000 E MOUNTAIN DR
WILKES BARRE, PA 18711
Radiology (Vascular & Interventional Radiology)
1000 E MOUNTAIN DR
WILKES BARRE, PA 18711
Hospitalist
1000 E MOUNTAIN DR
WILKES BARRE, PA 18711
Obstetrics & Gynecology
1000 E MOUNTAIN DR
WILKES BARRE, PA 18711
Obstetrics & Gynecology
1000 E MOUNTAIN DR
WILKES BARRE, PA 18711
Urology
1000 E MOUNTAIN DR
WILKES BARRE, PA 18711

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 Asad Shafiq's NPI number?

The NPI number for Asad Shafiq is 1245662428. It was assigned to this individual provider in the NPPES registry on July 30, 2013.

Where is Asad Shafiq located?

Asad Shafiq practices at 1000 E Mountain Dr, Wilkes Barre, PA 18711. The listed phone number is (570) 808-4047.

What is Asad Shafiq's specialty?

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

Is Asad Shafiq enrolled in Medicare?

Yes. Asad Shafiq 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 Asad Shafiq accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan and CareSource list Asad Shafiq 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 Asad Shafiq affiliated with any hospitals?

According to CMS data, Asad Shafiq is affiliated with Geisinger-Community Medical Center, Geisinger Medical Center and Geisinger Wyoming Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Asad Shafiq was last updated on July 8, 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.