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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: August 16, 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
Phone(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
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma.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, I20260204001714, I20260407001431
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 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 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.
1,839 services104 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 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.
962 services61 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 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.
905 services138 patients
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.
697 services277 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
280 services109 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 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.
179 services83 patients

Hospital Affiliations CMS Care Compare 4

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

Ascension St John Broken Arrow

Acute Care Hospitals · Broken Arrow, OK
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370235
Location1000 West Boise CircleBroken Arrow, OK 74012 · Tulsa County
Emergency services

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.

JOEL BOWERS M.D.
Radiology (Diagnostic Radiology)
1150 VARNUM ST NE
WASHINGTON, DC 20017
District of Columbia (202) 269-7000
DR. VANI PADMANABHA MD
Pathology (Anatomic Pathology & Clinical Pathology)
1150 VARNUM ST NE, PATHOLOGY DEPARTMENT
WASHINGTON, DC 20017
District of Columbia (202) 269-7272
AIN-ALEM SEYOUM PA
Physician Assistant
1150 VARNUM ST NE
WASHINGTON, DC 20017
District of Columbia (202) 269-7000
CEP AMERICA - ANESTHESIA PC
Anesthesiology
1150 VARNUM ST NE
WASHINGTON, DC 20017
District of Columbia (202) 854-7000
NAMMAN N HALABI MD
Emergency Medicine
1150 VARNUM ST NE
WASHINGTON, DC 20017
District of Columbia (202) 269-7000
DR. MARCY J OPPENHEIMER M.D.
Family Medicine
1150 VARNUM ST NE, ST. CATHERINE'S HALL/1ST FL/RM 102
WASHINGTON, DC 20017
District of Columbia (202) 854-4812
EKTA GUPTA M.D
Internal Medicine
1150 VARNUM ST NE
WASHINGTON, DC 20017
District of Columbia (202) 269-7874
DOMENIC DEROBERTIS CAA
Anesthesiologist Assistant
1150 VARNUM ST NE
WASHINGTON, DC 20017
District of Columbia (202) 854-7000

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 Muhammad Shibli's NPI number?

The NPI number for Muhammad Shibli is 1376656413. It was assigned to this individual provider in the NPPES registry on August 15, 2006.

Where is Muhammad Shibli located?

Muhammad Shibli practices at 1150 Varnum St NE, Washington, DC 20017. The listed phone number is (202) 269-7000.

What is Muhammad Shibli's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Muhammad Shibli enrolled in Medicare?

Yes. Muhammad Shibli 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 Muhammad Shibli accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Muhammad Shibli 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 Muhammad Shibli affiliated with any hospitals?

According to CMS data, Muhammad Shibli is affiliated with Holy Cross Hospital, Adventist Healthcare White Oak Medical Center, Ascension St John Jane Phillips and Ascension St John Broken Arrow.

When was this NPI record last updated?

The NPPES record for Muhammad Shibli was last updated on March 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.