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DR. SHAMS ZIA M.D.
NPI 1407029044
Internal Medicine in Raleigh, NC

Active since April 03, 2008PECOS EnrolledAccepts Medicare Assignment
3024 NEW BERN AVE, RALEIGH, NC 27610(919) 350-7251 Get Directions Write a Review

NPPES record last updated: April 15, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Shams Zia M.d. NPPES

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

DR. SHAMS ZIA M.D. (NPI 1407029044) is an individual internal medicine provider in Raleigh, North Carolina, licensed in North Carolina (2007-00720) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS, is affiliated with Wakemed, Raleigh Campus, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1407029044
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. SHAMS ZIACredential: M.D.
Location Address3024 NEW BERN AVERaleigh, NC 27610-1247
Mailing Address2920 Highwoods BlvdRaleigh, NC 27604-0010 · (877) 498-4490
Phone(919) 350-7251
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateApril 3, 2008
Last NPPES UpdateApril 15, 2021
NPPES CertifiedApril 15, 2021
✔ NPI 1407029044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NC · 2007-00720
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.
Also ListedSpecialistTaxonomy 174400000X · License 135309 (NC)
Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X · License 2007-00720 (NC)
3024 NEW BERN AVE, Raleigh, NC 27610
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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. Shams Zia 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 ID1254485865
PECOS Enrollment IDI20090817000619
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 9

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 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.
186 services88 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.
132 services99 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
57 services55 patients
Manual urinalysis test with examination using microscope, automated 81001
A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
52 services45 patients
Creatinine level to test for kidney function or muscle injury 82570
A creatinine level test measures the amount of creatinine in your blood. This substance is a waste product from normal muscle use. Higher levels can indicate possible kidney dysfunction or muscle injury. This test helps monitor kidney health.
52 services45 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
49 services40 patients

Hospital Affiliations CMS Care Compare

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

Wakemed, Raleigh Campus

Acute Care Hospitals · Raleigh, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340069
Location3000 New Bern AveRaleigh, NC 27610 · Wake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27610 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers11 claims11 services$16.55 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.

VALERIE J RINEHAMMER PNP
Nurse Practitioner (Pediatrics)
3024 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 350-7846
WAKEMED FACULTY PRACTICE PLAN
Pediatrics (Pediatric Critical Care Medicine)
3024 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 350-8000
DR. KAREN NEFF CHILTON M.D.
Pediatrics (Pediatric Critical Care Medicine)
3024 NEW BERN AVE, SUITE 307 - PEDIATRICS
RALEIGH, NC 27610
Wake County (919) 350-8493
DR. SAMER TAJ-ELDIN M.D.
Internal Medicine (Critical Care Medicine)
3024 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 350-7270
VIRGINIA GRACE CATES PA-C
Physician Assistant
3024 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 350-5318
MS. KAYLA ANNE CADDEN PA-C
Physician Assistant (Surgical)
3024 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 350-7331
DON M. ARMSTRONG MD
Obstetrics & Gynecology
3024 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 350-7084
KATHLEEN A ROWE NP
Nurse Practitioner
3024 NEW BERN AVE, SUITE 304
RALEIGH, NC 27610
Wake County (919) 350-8729

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 Shams Zia's NPI number?

The NPI number for Shams Zia is 1407029044. It was assigned to this individual provider in the NPPES registry on April 3, 2008.

Where is Shams Zia located?

Shams Zia practices at 3024 New Bern Ave, Raleigh, NC 27610. The listed phone number is (919) 350-7251.

What is Shams Zia's specialty?

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

Is Shams Zia enrolled in Medicare?

Yes. Shams Zia 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 Shams Zia accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Shams Zia 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 Shams Zia affiliated with any hospitals?

According to CMS data, Shams Zia is affiliated with Wakemed, Raleigh Campus.

When was this NPI record last updated?

The NPPES record for Shams Zia was last updated on April 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.