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SHAZE MEDICAL GROUP LLC
NPI 1245797208
Internal Medicine in Jeffersonville, IN

Active since February 26, 2019
1035 WALL STREET STE 104-C1, JEFFERSONVILLE, IN 47130(812) 282-2218(812) 282-2252 Get Directions Write a Review

NPPES record last updated: August 15, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 15, 2019, Apr 2, 2019, Feb 26, 2019 (3 updates tracked since 2019).

About Shaze Medical Group Llc NPPES

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

SHAZE MEDICAL GROUP LLC (NPI 1245797208) is a healthcare organization registered as an internal medicine in Jeffersonville, Indiana and active in the NPI registry since February 2019. The organization lists Syed Q Kazmi, President, as its authorized official.

NPPES Registry Identity

NPI1245797208
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSHAZE MEDICAL GROUP LLC
Location Address1035 WALL STREET STE 104-C1Jeffersonville, IN 47130-3602
Mailing Address1035 Wall Street Ste 104-c1Jeffersonville, IN 47130-3602 · (812) 282-2218 · Fax (812) 282-2252
Phone(812) 282-2218
Fax(812) 282-2252
Organization SubpartNo
Authorized OfficialSyed Q KazmiPresident · (812) 282-2218
Enumeration DateFebruary 26, 2019
Last NPPES UpdateAugust 15, 20193 updates tracked since enumeration
✔ NPI 1245797208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1035 WALL STREET STE 104-C1, Jeffersonville, IN 47130
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Other Identifiers 1

Medicaid300023539IN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shaze Medical Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Shaze Medical Group LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Syed Kazmi, M.D.
Internal Medicine
NPI 1487619888
1802 E 10TH ST
Jeffersonville, IN 47130
(812) 288-2488
✔ PECOS✔ Accepts Medicare2.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Shaze Medical Group LLC's NPI number?

The NPI number for Shaze Medical Group LLC is 1245797208. It was assigned to this organization in the NPPES registry on February 26, 2019.

Where is Shaze Medical Group LLC located?

Shaze Medical Group LLC is located at 1035 Wall Street Ste 104-C1, Jeffersonville, IN 47130. The listed phone number is (812) 282-2218.

What is Shaze Medical Group LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Shaze Medical Group LLC enrolled in Medicare?

Yes. Shaze Medical Group LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shaze Medical Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Shaze Medical Group LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Shaze Medical Group LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Shaze Medical Group LLC 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 Shaze Medical Group LLC was last updated on August 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.