DR. NABIL AHMAD SHAFI M.D.
NPI 1619175676
Internal Medicine in Sacramento, CA

Active since July 10, 2007PECOS EnrolledAccepts Medicare Assignment
35.97/100
CMS Quality Rating
4860 Y ST, SACRAMENTO, CA 95817(916) 734-3764 Get Directions Write a Review

NPPES record last updated: June 9, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Nabil Ahmad Shafi M.d. NPPES

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

DR. NABIL AHMAD SHAFI M.D. (NPI 1619175676) is an individual internal medicine provider in Sacramento, California, licensed in California (A120581) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1619175676
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. NABIL AHMAD SHAFICredential: M.D.
Location Address4860 Y STSacramento, CA 95817-2307
Mailing Address4860 Y StSacramento, CA 95817-2307
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJuly 10, 2007
Last NPPES UpdateJune 9, 2015
NPI 1619175676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in CA · A120581 Licensed in NY · 258123
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.
4860 Y ST, Sacramento, CA 95817

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. Nabil Ahmad Shafi 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 ID4880997212
PECOS Enrollment IDI20160707001714
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 21

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.
320 services171 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
167 services149 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
152 services146 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.
119 services58 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
86 services86 patients
Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report 93351
This procedure involves using ultrasound technology to create images of your heart while you rest, exercise, or undergo drug-induced stress. An ECG continuously monitors your heart's electrical activity. It helps doctors assess heart health and function.
74 services74 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95817 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
$137.20 typical visit price
range $60.44 – $180.85
Typical copayment $34.30 (range $15.11 – $45.21)
Most-billed visit code 99204
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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.

35.97/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality40.49
Promoting Interoperability0
Improvement Activities0
Cost46.57

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment
0%48 patients
Appropriate Treatment for Upper Respiratory Infection (URI)
100%69 patients5/55-star benchmark: 100%
Breast Cancer Screening
0%229 patients1/55-star benchmark: 93%
Cervical Cancer Screening
0%225 patients1/55-star benchmark: 98%
Colorectal Cancer Screening
1%519 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
44%362 patients2/55-star benchmark: 91%
Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <= 40%)
36%33 patients2/55-star benchmark: 99%
Diabetes: Eye Exam
0%171 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
87%171 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
0%1,729 patients1/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
11%350 patients1/55-star benchmark: 100%
Functional Status Assessments for Heart Failure
0%118 patients
Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) or Angiotensin Receptor-Neprilysin Inhibitor (ARNI) Therapy for Left Ventricular Systolic Dysfunction (LVSD)
18%38 patients1/55-star benchmark: 100%
Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)
38%37 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
17%826 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%780 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
19%773 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 41% · 581 patients
40%581 patients
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
44%403 patients1/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 373 patients
Patients totalRate: 7% · 373 patients
7%373 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

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

Automatic external defibrillator, with integrated electrocardiogram analysis, garment type K0606
DME-Other DME · category DE013N
1 supplier27 claims27 services$2,164.42 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.

Student in an Organized Health Care Education/Training Program
4860 Y ST, SUITE 3850
SACRAMENTO, CA 95817
Internal Medicine
4860 Y ST, SUITE 0101
SACRAMENTO, CA 95817
Internal Medicine
4860 Y ST, SUITE 0100
SACRAMENTO, CA 95817
Physical Medicine & Rehabilitation
4860 Y ST, SUITE 3850
SACRAMENTO, CA 95817
Obstetrics & Gynecology
4860 Y ST
SACRAMENTO, CA 95817
General Acute Care Hospital
4860 Y ST
SACRAMENTO, CA 95817
Obstetrics & Gynecology (Maternal & Fetal Medicine)
4860 Y ST
SACRAMENTO, CA 95817
Internal Medicine (Cardiovascular Disease)
4860 Y ST, SUITE 2820
SACRAMENTO, CA 95817

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 Nabil Shafi's NPI number?

The NPI number for Nabil Shafi is 1619175676. It was assigned to this individual provider in the NPPES registry on July 10, 2007.

Where is Nabil Shafi located?

Nabil Shafi practices at 4860 Y St, Sacramento, CA 95817. The listed phone number is (916) 734-3764.

What is Nabil Shafi's specialty?

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

Is Nabil Shafi enrolled in Medicare?

Yes. Nabil Shafi 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.

When was this NPI record last updated?

The NPPES record for Nabil Shafi was last updated on June 9, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.