DR. HAMZA T SHEIKH M.D.
NPI 1548471089
Internal Medicine - Endocrinology, Diabetes & Metabolism in Bowling Green, KY

Active since May 25, 2007PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
201 PARK ST, BOWLING GREEN, KY 42101(270) 781-5111(270) 783-3744 Get Directions Write a Review

NPPES record last updated: November 12, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 12, 2021, Sep 20, 2016 (2 updates tracked since 2016).

About Dr. Hamza T Sheikh M.d. NPPES

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

DR. HAMZA T SHEIKH M.D. (NPI 1548471089) is an individual endocrinology, diabetes & metabolism provider in Bowling Green, Kentucky, licensed in Georgia (89787) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Cherokee, and is a graduate of Medical College Of Wisconsin (2011).

NPPES Registry Identity

NPI1548471089
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameDR. HAMZA T SHEIKHCredential: M.D.
Location Address201 PARK STBowling Green, KY 42101-1759
Mailing Address11731 Pointe PlRoswell, GA 30076-4636 · (270) 781-5111 · Fax (270) 783-3744
Fax(270) 783-3744
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 2011
Enumeration DateMay 25, 2007
Last NPPES UpdateNovember 12, 20212 updates tracked since enumeration
NPPES CertifiedNovember 12, 2021
NPI 1548471089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Licenses Licensed in GA · 89787 Licensed in KY · 44150
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
201 PARK ST, Bowling Green, KY 42101

Other Identifiers 1

Other000000719851Anthem

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

Dr. Hamza T Sheikh 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 ID8325216443
PECOS Enrollment IDI20211116000290
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.

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.
388 services179 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
204 services92 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
140 services79 patients
Thyroxine (thyroid chemical), total 84436
A Thyroxine (thyroid chemical) total test measures the amount of thyroxine, a hormone produced by your thyroid gland, in your blood. This hormone helps regulate your body's metabolism. The test can help diagnose thyroid disorders, such as hypothyroidism or hyperthyroidism.
139 services79 patients
Blood test, thyroid stimulating hormone (tsh) 84443
A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.
139 services79 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
136 services78 patients

Hospital Affiliations CMS Care Compare 2

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

Northside Hospital Cherokee

Acute Care Hospitals · Canton, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110008
Location450 Northside Cherokee BoulevardCanton, GA 30115 · Cherokee County
Emergency services Birthing friendly

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110035
Location677 Church StreetMarietta, GA 30060 · Cobb County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42101 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

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.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
5 suppliers28 claims354 services$18.90 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
6 suppliers28 claims883 services$2.40 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
31 suppliers73 claims194 services$6.01 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
10 suppliers35 claims52 services$1.11 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
2 suppliers22 claims22 services$307.83 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
12 suppliers165 claims166 services$188.98 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.

Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
201 PARK ST
BOWLING GREEN, KY 42101
Nurse Practitioner (Pediatrics)
201 PARK ST
BOWLING GREEN, KY 42101
Internal Medicine
201 PARK ST
BOWLING GREEN, KY 42101
Physical Therapist
201 PARK ST
BOWLING GREEN, KY 42101
Psychiatry & Neurology (Neurology)
201 PARK ST
BOWLING GREEN, KY 42101
Nurse Practitioner (Family)
201 PARK ST
BOWLING GREEN, KY 42101
Radiology (Diagnostic Radiology)
201 PARK ST
BOWLING GREEN, KY 42101
Nurse Practitioner
201 PARK ST
BOWLING GREEN, KY 42101

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 Hamza Sheikh's NPI number?

The NPI number for Hamza Sheikh is 1548471089. It was assigned to this individual provider in the NPPES registry on May 25, 2007.

Where is Hamza Sheikh located?

Hamza Sheikh practices at 201 Park St, Bowling Green, KY 42101. The listed phone number is (270) 781-5111.

What is Hamza Sheikh's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Hamza Sheikh enrolled in Medicare?

Yes. Hamza 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 Hamza Sheikh accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Hamza 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 Hamza Sheikh affiliated with any hospitals?

According to CMS data, Hamza Sheikh is affiliated with Northside Hospital Cherokee and Wellstar Kennestone Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Hamza Sheikh was last updated on November 12, 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.