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SAIRA BANO SHEIKH MD
NPI 1326626664
Internal Medicine in Dumont, NJ

Active since March 30, 2021PECOS EnrolledAccepts Medicare Assignment
125 WASHINGTON AVE, DUMONT, NJ 07628(201) 374-2722(201) 374-2723 Get Directions Write a Review

NPPES record last updated: June 6, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 6, 2025, Mar 24, 2025, Apr 1, 2021 (3 updates tracked since 2021).

About Saira Bano Sheikh Md NPPES

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

SAIRA BANO SHEIKH MD (NPI 1326626664) is an individual internal medicine provider in Dumont, New Jersey, licensed in New Jersey (25MA12325000) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, is affiliated with Hackensack Meridian Health, Mountainside Medical, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1326626664
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSAIRA BANO SHEIKHCredential: MD
Location Address125 WASHINGTON AVEDumont, NJ 07628-3066
Mailing Address125 Washington AveDumont, NJ 07628-3066 · (201) 374-2722 · Fax (201) 374-2723
Phone(201) 374-2722
Fax(201) 374-2723
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMarch 30, 2021
Last NPPES UpdateJune 6, 20253 updates tracked since enumeration
NPPES CertifiedJune 6, 2025
✔ NPI 1326626664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · 25MA12325000
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.
125 WASHINGTON AVE, Dumont, NJ 07628
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Saira Bano Sheikh Md 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 ID5991174468
PECOS Enrollment IDI20250304002505
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 Saira Sheikh reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mpv New Jersey MD Services PC
3.2 mi
General Practice
250 OLD HOOK RD
Westwood, NJ 07675
  • Reassigned Medicare billing, New Jersey enrollment
  • 189 clinicians in this Medicare group
NPI 1215391271 (201) 781-1387
Plover Inpatient Services LLC
14 mi
Emergency Medicine
1 BAY AVE
Montclair, NJ 07042
  • Reassigned Medicare billing, New Jersey enrollment
  • 252 clinicians in this Medicare group
NPI 1134534688 (954) 939-5000

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

Hospital Affiliations CMS Care Compare 2

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

Hackensack Meridian Health, Mountainside Medical

Acute Care Hospitals · Montclair, NJ
2/5 CMS rating
OwnershipProprietary
CMS Certification Number310054
Location1 Bay AvenueMontclair, NJ 07042 · Essex County
Emergency services Birthing friendly

Hackensack Meridian Health Pascack Valley Medical

Acute Care Hospitals · Westwood, NJ
4/5 CMS rating
OwnershipProprietary
CMS Certification Number310130
Location250 Old Hook RoadWestwood, NJ 07675 · Bergen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07628 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RAJESHREE PRASHANT CHINCHANKAR M.D.
Obstetrics & Gynecology
125 WASHINGTON AVE
DUMONT, NJ 07628
Bergen County (201) 374-2722
JACLYN PALER DPT
Physical Therapist
125 WASHINGTON AVE
DUMONT, NJ 07628
Bergen County (201) 385-6272
EPIFANIO I SUNGA OD PA
Optometrist
125 WASHINGTON AVE
DUMONT, NJ 07628
Bergen County (201) 385-3055
MERYL S. MATHEW PT, DPT
Physical Therapist
125 WASHINGTON AVE
DUMONT, NJ 07628
Bergen County (201) 385-6272
STELLA GANDHI M.D.
Internal Medicine
125 WASHINGTON AVE
DUMONT, NJ 07628
Bergen County (201) 374-2722
DR. AMANDA PAIGE NEVIS DPT
Physical Therapist
125 WASHINGTON AVE
DUMONT, NJ 07628
Bergen County (201) 385-6272
MINA D'ARRIGO PT, DPT, CLT, ONCS
Physical Therapist
125 WASHINGTON AVE
DUMONT, NJ 07628
Bergen County (201) 385-6272
MR. JEFF GRINKOVITCH MPT
Physical Therapist (Orthopedic)
125 WASHINGTON AVE
DUMONT, NJ 07628
Bergen County (201) 385-6272

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 Saira Sheikh's NPI number?

The NPI number for Saira Sheikh is 1326626664. It was assigned to this individual provider in the NPPES registry on March 30, 2021.

Where is Saira Sheikh located?

Saira Sheikh practices at 125 Washington Ave, Dumont, NJ 07628. The listed phone number is (201) 374-2722.

What is Saira Sheikh's specialty?

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

Is Saira Sheikh enrolled in Medicare?

Yes. Saira 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.

Which organizations bill Medicare for Saira Sheikh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Saira Sheikh reassigns Medicare benefits to 2 organizations: Mpv New Jersey MD Services PC (Westwood, NJ) and Plover Inpatient Services LLC (Montclair, NJ). 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 Saira Sheikh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Saira Sheikh accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Saira Sheikh 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.

Is Saira Sheikh affiliated with any hospitals?

According to CMS data, Saira Sheikh is affiliated with Hackensack Meridian Health, Mountainside Medical and Hackensack Meridian Health Pascack Valley Medical.

When was this NPI record last updated?

The NPPES record for Saira Sheikh was last updated on June 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.