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MRS. FATIMA SHEIKH D.O
NPI 1255746855
Internal Medicine - Nephrology in East Setauket, NY

Active since June 23, 2014PECOS EnrolledAccepts Medicare Assignment
98.52/100
CMS Quality Rating
26 RESEARCH WAY, EAST SETAUKET, NY 11733(631) 444-0580 Get Directions Write a Review

NPPES record last updated: February 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 7, 2023, Sep 12, 2019 (2 updates tracked since 2019).

About Mrs. Fatima Sheikh D.o NPPES

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

MRS. FATIMA SHEIKH D.O (NPI 1255746855) is an individual nephrology provider in East Setauket, New York, licensed in New York (288139) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, is affiliated with Suny/stony Brook University Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1255746855
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameMRS. FATIMA SHEIKHCredential: D.O
Location Address26 RESEARCH WAYEast Setauket, NY 11733-3526
Mailing Address26 Research WayEast Setauket, NY 11733-3526 · (631) 444-0580
Phone(631) 444-0580
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 23, 2014
Last NPPES UpdateFebruary 7, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2023
✔ NPI 1255746855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in NY · 288139
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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
26 RESEARCH WAY, East Setauket, NY 11733
Open in Google Maps ↗

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

Mrs. Fatima Sheikh D.o 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 ID7416291919
PECOS Enrollment IDI20190604002028
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 13

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 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.
331 services168 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.
213 services116 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.
125 services121 patients
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.
109 services79 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.
90 services49 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
77 services63 patients

Hospital Affiliations CMS Care Compare

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

Suny/Stony Brook University Hospital

Acute Care Hospitals · Stony Brook, NY
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330393
LocationHealth Sciences Center SunyStony Brook, NY 11794 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11733 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

98.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.85
Promoting Interoperability100
Improvement Activities40

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.

MS. HAKSOO KIM NURSE PRACTITIONER
Nurse Practitioner (Adult Health)
26 RESEARCH WAY
EAST SETAUKET, NY 11733
Suffolk County (631) 444-0502
MS. JENNIFER M MULVEY FITZGERALD NP, CDE
Nurse Practitioner (Family)
26 RESEARCH WAY, SUITE 1
EAST SETAUKET, NY 11733
Suffolk County (914) 649-9993
DR. LEONARD ARBEIT M.D.
Internal Medicine (Nephrology)
26 RESEARCH WAY
EAST SETAUKET, NY 11733
Suffolk County (631) 444-0580
DR. EDWARD NORD M.D.
Internal Medicine (Nephrology)
26 RESEARCH WAY
EAST SETAUKET, NY 11733
Suffolk County (631) 444-0580
DR. RAJEEV BALWANT PATEL M.D.
Internal Medicine (Pulmonary Disease)
26 RESEARCH WAY
EAST SETAUKET, NY 11733
Suffolk County (631) 444-9953
DR. HAROLD CARLSON M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
26 RESEARCH WAY
EAST SETAUKET, NY 11733
Suffolk County (631) 444-0580
DR. MOHAMED MOHSEN MANSOUR M.D.
Internal Medicine (Pulmonary Disease)
26 RESEARCH WAY
EAST SETAUKET, NY 11733
Suffolk County (631) 444-1750
DR. PETER F COHN M.D.
Internal Medicine (Cardiovascular Disease)
26 RESEARCH WAY
EAST SETAUKET, NY 11733
Suffolk County (631) 444-0580

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 Fatima Sheikh's NPI number?

The NPI number for Fatima Sheikh is 1255746855. It was assigned to this individual provider in the NPPES registry on June 23, 2014.

Where is Fatima Sheikh located?

Fatima Sheikh practices at 26 Research Way, East Setauket, NY 11733. The listed phone number is (631) 444-0580.

What is Fatima Sheikh's specialty?

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

Is Fatima Sheikh enrolled in Medicare?

Yes. Fatima Sheikh 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.

Is Fatima Sheikh affiliated with any hospitals?

According to CMS data, Fatima Sheikh is affiliated with Suny/Stony Brook University Hospital.

When was this NPI record last updated?

The NPPES record for Fatima Sheikh was last updated on February 7, 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.