DR. SHAKER BARHAM M.D.
NPI 1366825077
Internal Medicine - Gastroenterology in Knoxville, TN

Active since June 30, 2015PECOS EnrolledAccepts Medicare Assignment
95.69/100
CMS Quality Rating
1924 ALCOA HWY, KNOXVILLE, TN 37920(865) 305-6570 Get Directions Write a Review

NPPES record last updated: September 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Shaker Barham M.d. NPPES

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

DR. SHAKER BARHAM M.D. (NPI 1366825077) is an individual gastroenterology provider in Knoxville, Tennessee, licensed in Tennessee (65317) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with University Health System, Inc, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1366825077
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. SHAKER BARHAMCredential: M.D.
Location Address1924 ALCOA HWYKnoxville, TN 37920-1511
Mailing Address703 Main StPaterson, NJ 07503-2621 · (973) 754-2000
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJune 30, 2015
Last NPPES UpdateSeptember 27, 2023
NPPES CertifiedSeptember 27, 2023
NPI 1366825077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in TN · 65317
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1924 ALCOA HWY, Knoxville, TN 37920

Accepted Insurance

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

Dr. Shaker Barham M.d. 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 ID2264812924
PECOS Enrollment IDI20220712001887
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 17

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.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
102 services95 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.
61 services55 patients
Ultrasound guided needle aspiration or biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43242
This procedure involves using an ultrasound to guide a needle to specific areas in the esophagus, stomach, or upper small bowel. A flexible endoscope is used to reach these areas. The needle collects a small sample for testing.
55 services52 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
47 services47 patients
Review by radiologist of image from tube placement into bile duct using an endoscope 74328
This procedure involves a specialist, called a radiologist, examining an image taken during a tube placement into your bile duct. The tube is inserted with the help of a tool called an endoscope. This allows the doctor to check for any issues or abnormalities in your bile duct.
34 services30 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
33 services33 patients

Hospital Affiliations CMS Care Compare

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

University Health System, Inc

Acute Care Hospitals · Knoxville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440015
Location1924 Alcoa HighwayKnoxville, TN 37920 · Knox County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37920 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

95.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.28
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.

Registered Nurse (Obstetric, High-Risk)
1924 ALCOA HWY, 6S
KNOXVILLE, TN 37920
Student in an Organized Health Care Education/Training Program
1924 ALCOA HWY, UNIV. OF TENNESSEE MEDICAL CENTER, DEPT. OF PATHOLOGY
KNOXVILLE, TN 37920
Internal Medicine (Pulmonary Disease)
1924 ALCOA HWY, DEPARTMENT OF MEDICINE U-114 GSM, UTMCK
KNOXVILLE, TN 37920
Nurse Practitioner (Gerontology)
1924 ALCOA HWY
KNOXVILLE, TN 37920
Pharmacist
1924 ALCOA HWY
KNOXVILLE, TN 37920
Pathology (Anatomic Pathology & Clinical Pathology)
1924 ALCOA HWY
KNOXVILLE, TN 37920
Internal Medicine
1924 ALCOA HWY, BOX U114
KNOXVILLE, TN 37920
Nurse Anesthetist, Certified Registered
1924 ALCOA HWY
KNOXVILLE, TN 37920

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 Shaker Barham's NPI number?

The NPI number for Shaker Barham is 1366825077. It was assigned to this individual provider in the NPPES registry on June 30, 2015.

Where is Shaker Barham located?

Shaker Barham practices at 1924 Alcoa Hwy, Knoxville, TN 37920. The listed phone number is (865) 305-6570.

What is Shaker Barham's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Shaker Barham enrolled in Medicare?

Yes. Shaker Barham 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.

What insurance does Shaker Barham accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Shaker Barham 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 Shaker Barham affiliated with any hospitals?

According to CMS data, Shaker Barham is affiliated with University Health System, Inc.

When was this NPI record last updated?

The NPPES record for Shaker Barham was last updated on September 27, 2023. 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.