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DR. SHAGUFTA H SHAIKH MD
NPI 1285657650
Internal Medicine in Exton, PA

Active since July 25, 2006PECOS Enrolled
45 LINDENWOOD DR, EXTON, PA 19341(570) 332-4292 Get Directions Write a Review

NPPES record last updated: April 13, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Shagufta H Shaikh Md NPPES

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

DR. SHAGUFTA H SHAIKH MD (NPI 1285657650) is an individual internal medicine provider in Exton, Pennsylvania, licensed in Pennsylvania (MD437561) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285657650
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. SHAGUFTA H SHAIKHCredential: MD
Location Address45 LINDENWOOD DRExton, PA 19341-2147
Mailing Address45 Lindenwood DrExton, PA 19341-2147 · (570) 332-4292
Phone(570) 332-4292
Sole ProprietorNo
Enumeration DateJuly 25, 2006
Last NPPES UpdateApril 13, 2012
✔ NPI 1285657650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MD437561
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.
45 LINDENWOOD DR, Exton, PA 19341
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Other Identifiers 2

Other1285657650PA · Npi
OtherMD437561PA · Pa State License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shagufta H Shaikh Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Shagufta Shaikh reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Department Of State Hospitals
2,227 mi
Psychiatric Hospital
3102 E HIGHLAND AVE
Patton, CA 92369
  • Reassigned Medicare billing, California enrollment
  • 755 clinicians in this Medicare group
NPI 1043249204 (909) 425-7552
Desert Valley Medical Group, Inc.
2,304 mi
General Practice
19181 TOWN CENTER DR
Apple Valley, CA 92308
  • Reassigned Medicare billing, California enrollment
  • 145 clinicians in this Medicare group
NPI 1295031052 (760) 241-8000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19341 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%174 patients5/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
7%454 patients1/55-star benchmark: 85%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 298 patients
1%298 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers34 claims34 services$13.56 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers34 claims34 services$63.33 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Shagufta Shaikh's NPI number?

The NPI number for Shagufta Shaikh is 1285657650. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Shagufta Shaikh located?

Shagufta Shaikh practices at 45 Lindenwood Dr, Exton, PA 19341. The listed phone number is (570) 332-4292.

What is Shagufta Shaikh's specialty?

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

Is Shagufta Shaikh enrolled in Medicare?

Yes. Shagufta Shaikh is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Shagufta Shaikh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shagufta Shaikh reassigns Medicare benefits to 2 organizations: Department Of State Hospitals (Patton, CA) and Desert Valley Medical Group, Inc. (Apple Valley, CA). 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 Shagufta Shaikh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shagufta Shaikh was last updated on April 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.