MUHAMMAD SHIBLI MD
NPI 1376656413
Internal Medicine - Pulmonary Disease in Washington, DC

Active since August 15, 2006PECOS EnrolledAccepts Medicare Assignment
72.86/100
CMS Quality Rating
1150 VARNUM ST NE, WASHINGTON, DC 20017(202) 269-7000 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Muhammad Shibli Md NPPES

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

MUHAMMAD SHIBLI MD (NPI 1376656413) is an individual pulmonary disease provider in Washington, District Of Columbia, licensed in Virginia (0101234892) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Holy Cross Hospital, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1376656413
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameMUHAMMAD SHIBLICredential: MD
Location Address1150 VARNUM ST NEWashington, DC 20017
Mailing Address1150 Varnum St NeWashington, DC 20017 · (202) 269-7000
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateAugust 15, 2006
Last NPPES UpdateMarch 25, 2026
NPPES CertifiedMarch 25, 2026
NPI 1376656413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses Licensed in VA · 0101234892 Licensed in MD · D0060586
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License MD33000 (DC)
Also ListedHospitalistTaxonomy 208M00000X · License MD33000 (DC)
1150 VARNUM ST NE, Washington, DC 20017

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

Muhammad Shibli 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 ID8729976840
PECOS Enrollment IDI20040405000450, I20210615002503, I20250212000114
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 10

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
686 services294 patients
Follow-up nursing facility visit per day, typically 25 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
666 services54 patients
Follow-up hospital inpatient care per day, typically 35 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
243 services143 patients
Follow-up nursing facility visit per day, typically 15 minutes 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
154 services23 patients
Follow-up nursing facility visit per day, typically 35 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
131 services52 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
34 services31 patients

Hospital Affiliations CMS Care Compare 3

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

Holy Cross Hospital

Acute Care Hospitals · Silver Spring, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number210004
Location1500 Forest Glen RoadSilver Spring, MD 20910 · Montgomery County
Birthing friendly

Adventist Healthcare White Oak Medical Center

Acute Care Hospitals · Silver Spring, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210016
Location11890 Healing WaySilver Spring, MD 20904 · Montgomery County
Emergency services Birthing friendly

Ascension St John Jane Phillips

Acute Care Hospitals · Bartlesville, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370018
Location3500 East Frank Phillips BoulevardBartlesville, OK 74006 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20017 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

72.86/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.18
Promoting Interoperability95
Improvement Activities40
Cost48.84

Referred Medical Equipment & Supplies CMS DME claims 10

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
9 suppliers28 claims28 services$31.60 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
10 suppliers64 claims64 services$68.50 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
10 suppliers58 claims172 services$26.50 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
6 suppliers27 claims161 services$13.92 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
7 suppliers33 claims33 services$44.21 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
11 suppliers53 claims53 services$15.07 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Dietitian, Registered
1150 VARNUM ST NE
WASHINGTON, DC 20017
Nurse Anesthetist, Certified Registered
1150 VARNUM ST NE
WASHINGTON, DC 20017
Radiology (Diagnostic Radiology)
1150 VARNUM ST NE
WASHINGTON, DC 20017
Radiology (Diagnostic Radiology)
1150 VARNUM ST NE
WASHINGTON, DC 20017
Radiology (Diagnostic Radiology)
1150 VARNUM ST NE
WASHINGTON, DC 20017
Radiology (Diagnostic Radiology)
1150 VARNUM ST NE
WASHINGTON, DC 20017
Nurse Practitioner (Family)
1150 VARNUM ST NE
WASHINGTON, DC 20017
Pathology (Anatomic Pathology & Clinical Pathology)
1150 VARNUM ST NE, PATHOLOGY DEPARTMENT
WASHINGTON, DC 20017

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376656413, enumerated as an "individual" on August 15, 2006.

The provider is located at 1150 VARNUM ST NE WASHINGTON, DC 20017 and the phone number is (202) 269-7000.

Internal Medicine with taxonomy code 207RP1001X and a focus in Pulmonary Disease.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Oklahoma. Please consult your insurance carrier or call the provider to verify.

Muhammad Shibli is affiliated with: HOLY CROSS HOSPITAL, ADVENTIST HEALTHCARE WHITE OAK MEDICAL CENTER and ASCENSION ST JOHN JANE PHILLIPS.