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MR. ARIF AHMED SHAMIM M.D.
NPI 1295427094
Family Medicine in Dixon, IL

Active since May 22, 2023PECOS Enrolled
102 S. HENNEPIN AVENUE, DIXON, IL 61021(815) 285-8520(815) 285-8903 Get Directions Write a Review

NPPES record last updated: September 11, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 11, 2024, Nov 16, 2023, May 22, 2023 (3 updates tracked since 2023).

About Mr. Arif Ahmed Shamim M.d. NPPES

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

MR. ARIF AHMED SHAMIM M.D. (NPI 1295427094) is an individual family medicine provider in Dixon, Illinois, licensed in Illinois (125083037) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295427094
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMR. ARIF AHMED SHAMIMCredential: M.D.
Location Address102 S. HENNEPIN AVENUEDixon, IL 61021
Mailing Address102 S. Hennepin AvenueDixon, IL 61021 · (815) 285-8520 · Fax (815) 285-8903
Phone(815) 285-8520
Fax(815) 285-8903
Sole ProprietorNo
Enumeration DateMay 22, 2023
Last NPPES UpdateSeptember 11, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2024
✔ NPI 1295427094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 125083037
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
102 S. HENNEPIN AVENUE, Dixon, IL 61021
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Arif Ahmed Shamim M.d. 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 Reassignment

Medicare enrollment records show Arif Shamim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ksb Medical Group, Inc.
Same address
Clinic/Center
215 E 1ST ST, STE 101
Dixon, IL 61021
  • Reassigned Medicare billing, Illinois enrollment
  • 130 clinicians in this Medicare group
NPI 1629046115 (815) 285-5973

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 61021 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

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 Arif Shamim's NPI number?

The NPI number for Arif Shamim is 1295427094. It was assigned to this individual provider in the NPPES registry on May 22, 2023.

Where is Arif Shamim located?

Arif Shamim practices at 102 S. Hennepin Avenue, Dixon, IL 61021. The listed phone number is (815) 285-8520.

What is Arif Shamim's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Arif Shamim enrolled in Medicare?

Yes. Arif Shamim is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Arif Shamim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Arif Shamim reassigns Medicare benefits to Ksb Medical Group, Inc. (Dixon, IL). The 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 Arif Shamim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Arif Shamim accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health and UnitedHealthcare list Arif Shamim 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 Arif Shamim was last updated on September 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.