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DR. NAJAM Z SHEIKH M.D.
NPI 1437394681
Pediatrics - Neurodevelopmental Disabilities in South Williamson, KY

Active since December 02, 2008PECOS Enrolled
97.4/100
CMS Quality Rating
306 HOSPITAL DR, SOUTH WILLIAMSON, KY 41503(606) 237-1757(606) 237-1750 Get Directions Write a Review

NPPES record last updated: November 15, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Najam Z Sheikh M.d. NPPES

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

DR. NAJAM Z SHEIKH M.D. (NPI 1437394681) is an individual neurodevelopmental disabilities provider in South Williamson, Kentucky, licensed in Kentucky (49383) and active in the NPI registry since December 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437394681
Entity TypeIndividualMale
Primary Taxonomy2080P0008X
Provider Legal NameDR. NAJAM Z SHEIKHCredential: M.D.
Location Address306 HOSPITAL DRSouth Williamson, KY 41503-4095
Mailing Address306 Hospital DrSouth Williamson, KY 41503-4095 · (606) 237-1757 · Fax (606) 237-1750
Phone(606) 237-1757
Fax(606) 237-1750
Sole ProprietorNo
Enumeration DateDecember 2, 2008
Last NPPES UpdateNovember 15, 2016
✔ NPI 1437394681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neurodevelopmental DisabilitiesAllopathic & Osteopathic Physicians
Taxonomy Code2080P0008X
License✔ Licensed in KY · 49383
Definition
A pediatrician who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions.
306 HOSPITAL DR, South Williamson, KY 41503
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Other Identifiers 1

Medicare UPINK214470KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health 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 (PECOS)

Dr. Najam Z Sheikh M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 4

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.

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.
74 services38 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
22 services20 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
11 services11 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
11 services11 patients

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.

97.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.55
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.

PRIMARY CARE ASSOCIATES OF WILLIAMSON
Family Medicine
306 HOSPITAL DR, SUITE 105
SOUTH WILLIAMSON, KY 41503
Pike County (606) 237-0053
KRISTEN COLLINS
Nurse Practitioner
306 HOSPITAL DR
SOUTH WILLIAMSON, KY 41503
Pike County (606) 237-1757
DR. ALLAN D. DIZON M.D.
Pediatrics
306 HOSPITAL DR
SOUTH WILLIAMSON, KY 41503
Pike County (606) 237-1766
CAITLYN SMITH APRN
Student in an Organized Health Care Education/Training Program
306 HOSPITAL DR
SOUTH WILLIAMSON, KY 41503
Pike County (606) 237-1766
VANESSA DAWN MARCUM APRN
Nurse Practitioner (Family)
306 HOSPITAL DR
SOUTH WILLIAMSON, KY 41503
Pike County (606) 237-1700
ZACHARY GRIMMETT PHARMD
Pharmacist
306 HOSPITAL DR
SOUTH WILLIAMSON, KY 41503
Pike County (606) 237-1735
IMTIAZ HUSSAIN MD
Internal Medicine (Pulmonary Disease)
306 HOSPITAL DR
SOUTH WILLIAMSON, KY 41503
Pike County (606) 237-4943
WILLIAMSON MEDICAL GROUP INC
Internal Medicine
306 HOSPITAL DR, STE. 202-C
SOUTH WILLIAMSON, KY 41503
Pike County (606) 237-1450

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 Najam Sheikh's NPI number?

The NPI number for Najam Sheikh is 1437394681. It was assigned to this individual provider in the NPPES registry on December 2, 2008.

Where is Najam Sheikh located?

Najam Sheikh practices at 306 Hospital Dr, South Williamson, KY 41503. The listed phone number is (606) 237-1757.

What is Najam Sheikh's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neurodevelopmental Disabilities, with taxonomy code 2080P0008X.

Is Najam Sheikh enrolled in Medicare?

Yes. Najam Sheikh is registered in the Medicare PECOS enrollment system.

What insurance does Najam Sheikh accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Highmark Blue Cross Blue Shield West Virginia list Najam 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.

When was this NPI record last updated?

The NPPES record for Najam Sheikh was last updated on November 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.