NAVEED RAZA SHEIKH MBBS, MD
NPI 1477794873
Internal Medicine - Pulmonary Disease in Lawrenceville, GA

Active since March 13, 2009PECOS EnrolledAccepts Medicare Assignment
84.06/100
CMS Quality Rating
631 PROFESSIONAL DR STE 350, LAWRENCEVILLE, GA 30046(678) 942-5982(678) 942-5984 Get Directions Write a Review

NPPES record last updated: November 17, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Naveed Raza Sheikh Mbbs, Md NPPES

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

NAVEED RAZA SHEIKH MBBS, MD (NPI 1477794873) is an individual pulmonary disease provider in Lawrenceville, Georgia, licensed in Georgia (84821) and active in the NPI registry since March 2009. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1477794873
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameNAVEED RAZA SHEIKHCredential: MBBS, MD
Location Address631 PROFESSIONAL DR STE 350Lawrenceville, GA 30046-3370
Mailing Address631 Professional Dr Ste 350Lawrenceville, GA 30046-3370 · (865) 835-5150 · Fax (678) 942-5984
Fax(678) 942-5984
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateMarch 13, 2009
Last NPPES UpdateNovember 17, 2021
NPPES CertifiedNovember 17, 2021
NPI 1477794873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses Licensed in GA · 84821 Licensed in TN · 50579
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.
631 PROFESSIONAL DR STE 350, Lawrenceville, GA 30046

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

Naveed Raza Sheikh Mbbs, 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 ID5294885091
PECOS Enrollment IDI20200606000086
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 19

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.
214 services97 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.
202 services112 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
81 services76 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
77 services73 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
61 services57 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.
54 services39 patients

Hospital Affiliations CMS Care Compare 5

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

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110005
Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County
Birthing friendly

Northside Hospital Gwinnett

Acute Care Hospitals · Lawrenceville, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110087
Location1000 Medical Center BoulevardLawrenceville, GA 30046 · Gwinnett County
Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Piedmont Eastside Medical Center

Acute Care Hospitals · Snellville, GA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number110192
Location1700 Medical WaySnellville, GA 30078 · Gwinnett County
Emergency services Birthing friendly

Northside Hospital Duluth

Acute Care Hospitals · Duluth, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110252
Location3620 Howell Ferry RoadDuluth, GA 30096 · Gwinnett County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30046 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

84.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality61.32
Promoting Interoperability100
Improvement Activities40
Cost78.5

Reported Quality Measures

Breast Cancer Screening
6%280 patients1/55-star benchmark: 93%
Cervical Cancer Screening
2%248 patients1/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
12%126 patients1/55-star benchmark: 87%
Controlling High Blood Pressure
58%88 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
0%31 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
100%31 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
87%1,584 patients4/55-star benchmark: 100%
e-Prescribing
99%1,592 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
34%375 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
28%640 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%775 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
23%1,194 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 95% · 470 patients
Patients screened: 98% · 470 patients
77%61 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
83%543 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
84%86 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 397 patients
Patients totalRate: 1% · 398 patients
1%398 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 6

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$42.26 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers63 claims64 services$14.63 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
4 suppliers20 claims20 services$27.46 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
1 supplier11 claims11 services$41.16 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers79 claims80 services$63.60 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
3 suppliers29 claims29 services$31.72 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 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
631 PROFESSIONAL DR STE 350
LAWRENCEVILLE, GA 30046
Internal Medicine (Pulmonary Disease)
631 PROFESSIONAL DR STE 350
LAWRENCEVILLE, GA 30046
Internal Medicine (Pulmonary Disease)
631 PROFESSIONAL DR STE 350
LAWRENCEVILLE, GA 30046
Internal Medicine (Pulmonary Disease)
631 PROFESSIONAL DR STE 350
LAWRENCEVILLE, GA 30046
Internal Medicine (Pulmonary Disease)
631 PROFESSIONAL DR STE 350
LAWRENCEVILLE, GA 30046
Internal Medicine (Pulmonary Disease)
631 PROFESSIONAL DR STE 350
LAWRENCEVILLE, GA 30046
Nurse Practitioner (Family)
631 PROFESSIONAL DR STE 350
LAWRENCEVILLE, GA 30046
Internal Medicine (Pulmonary Disease)
631 PROFESSIONAL DR STE 350
LAWRENCEVILLE, GA 30046

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 Naveed Sheikh's NPI number?

The NPI number for Naveed Sheikh is 1477794873. It was assigned to this individual provider in the NPPES registry on March 13, 2009.

Where is Naveed Sheikh located?

Naveed Sheikh practices at 631 Professional Dr Ste 350, Lawrenceville, GA 30046. The listed phone number is (678) 942-5982.

What is Naveed Sheikh's specialty?

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

Is Naveed Sheikh enrolled in Medicare?

Yes. Naveed Sheikh 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 Naveed Sheikh accept?

Health plans from Alliant Health Plans, Inc. list Naveed 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.

Is Naveed Sheikh affiliated with any hospitals?

According to CMS data, Naveed Sheikh is affiliated with Northside Hospital Forsyth, Northside Hospital Gwinnett, Northside Hospital, Piedmont Eastside Medical Center and Northside Hospital Duluth.

When was this NPI record last updated?

The NPPES record for Naveed Sheikh was last updated on November 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.