MUHAMMED R SHEIKH MD
NPI 1316230014
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Allentown, PA

NPI Status: Active since May 27, 2011

Contact Information

1210 S CEDAR CREST BLVD
SUITE 2400
ALLENTOWN, PA
ZIP 18103
Phone: (610) 402-3888
Fax: (610) 402-3892

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  • Individual
  • Male
  • Psychiatry & Neurology
  • Neurology with Special Qualifications in...
  • Accepts Insurance
  • PECOS Enrolled

About MUHAMMED SHEIKH

This page provides the complete NPI Profile along with additional information for Muhammed Sheikh, a provider established in Allentown, Pennsylvania with a medical specialization in Psychiatry & Neurology, focusing in neurology with special qualifications in child neurology . The healthcare provider is registered in the NPI registry with number 1316230014 assigned on May 2011. The practitioner's primary taxonomy code is 2084N0402X with license number MD442776 (PA). The provider is registered as an individual and his NPI record was last updated 10 years ago.

NPI
1316230014
Provider Name
MUHAMMED R SHEIKH MD
Gender
Male
Entity Type
Individual
Location Address
1210 S CEDAR CREST BLVD SUITE 2400 ALLENTOWN, PA 18103
Location Phone
(610) 402-3888
Location Fax
(610) 402-3892
Mailing Address
PO BOX 783311 PHILADELPHIA, PA 19178
Mailing Phone
(484) 884-4500
Mailing Fax
(610) 402-3892
Is Sole Proprietor?
No
Enumeration Date
05-27-2011
Last Update Date
07-06-2016
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology

Taxonomy Code
2084N0402X
Type
Allopathic & Osteopathic Physicians
License No.
MD442776
License State
PA
Taxonomy Description
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Clear Gold - EPO
  • Clear Gold + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Principal Bronze HSA - EPO
  • Principal Bronze HSA + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Muhammed Sheikh is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 18103 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $126.34
  • Minimum New Patient Price $54.64
  • Maximum New Patient Price $166.87
  • Average New Patient Copayment $31.58
  • Minimum New Patient Copayment $13.66
  • Maximum New Patient Copayment $41.71

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $96.82
  • Minimum Established Patient Price $17.33
  • Maximum Established Patient Price $135.84
  • Average Established Patient Copayment $24.2
  • Minimum Established Patient Copayment $4.33
  • Maximum Established Patient Copayment $33.96

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1316230014, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 46. The final step is to find the difference between that total and the next multiple of ten (50 - 46 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
1
Doubled → 2
Pos 4
6
Unchanged
Pos 5
2
Doubled → 4
Pos 6
3
Unchanged
Pos 7
0
Doubled → 0
Pos 8
0
Unchanged
Pos 9
1
Doubled → 2
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 2 → 4 0 → 0 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 2 + 6 + 4 + 3 + 0 + 0 + 2 + 24 = 46

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 46 is 50. The difference is the calculated check digit.

50 - 46 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1316230014.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine
1210 S CEDAR CREST BLVD, SUITE 3600
ALLENTOWN, PA 18103
Internal Medicine (Rheumatology)
1210 S CEDAR CREST BLVD, SUITE 3600
ALLENTOWN, PA 18103
Internal Medicine
1210 S CEDAR CREST BLVD, SUITE 3600
ALLENTOWN, PA 18103
Internal Medicine
1210 S CEDAR CREST BLVD, SUITE 3600
ALLENTOWN, PA 18103
Transplant Surgery
1210 S CEDAR CREST BLVD, SUITE 3300
ALLENTOWN, PA 18103
Physician Assistant (Medical)
1210 S CEDAR CREST BLVD, SUITE 1800
ALLENTOWN, PA 18103
Physician Assistant (Surgical)
1210 S CEDAR CREST BLVD, SUITE 1100
ALLENTOWN, PA 18103
Clinical Nurse Specialist (Neuroscience)
1210 S CEDAR CREST BLVD, SUITE 1800
ALLENTOWN, PA 18103
Physician Assistant (Medical)
1210 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Internal Medicine (Nephrology)
1210 S CEDAR CREST BLVD, SUITE 3600
ALLENTOWN, PA 18103
General Acute Care Hospital
1210 S CEDAR CREST BLVD, SUITE 1800
ALLENTOWN, PA 18103
Dietitian, Registered
1210 S CEDAR CREST BLVD, STE 2400
ALLENTOWN, PA 18103
Dietitian, Registered
1210 S CEDAR CREST BLVD, STE 2400
ALLENTOWN, PA 18103
Pediatrics (Pediatric Infectious Diseases)
1210 S CEDAR CREST BLVD, SUITE 2400
ALLENTOWN, PA 18103
Urology (Pediatric Urology)
1210 S CEDAR CREST BLVD, SUITE 1100
ALLENTOWN, PA 18103
Internal Medicine (Infectious Disease)
1210 S CEDAR CREST BLVD, SUITE 2700
ALLENTOWN, PA 18103
Internal Medicine (Infectious Disease)
1210 S CEDAR CREST BLVD, STE 2700
ALLENTOWN, PA 18103
Internal Medicine (Infectious Disease)
1210 S CEDAR CREST BLVD, SUITE 2700
ALLENTOWN, PA 18103
Physician Assistant (Medical)
1210 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Nurse Practitioner (Primary Care)
1210 S CEDAR CREST BLVD, SUITE 360
ALLENTOWN, PA 18103

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316230014, enumerated as an "individual" on May 27, 2011.

The provider is located at 1210 S CEDAR CREST BLVD SUITE 2400 ALLENTOWN, PA 18103 and the phone number is (610) 402-3888.

Psychiatry & Neurology with taxonomy code 2084N0402X and a focus in Neurology with Special Qualifications in Child Neurology.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter Health. Please consult your insurance carrier or call the provider to verify.