SOHAIP MOHAMMAD SHAFEEQ KABASHNEH M.D
NPI 1629566054
Student in an Organized Health Care Education/Training Program in Worcester, MA

Active since May 01, 2018PECOS EnrolledAccepts Medicare Assignment
55 LAKE AVE N, WORCESTER, MA 01655(508) 334-1131 Get Directions Write a Review

NPPES record last updated: July 25, 2021. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Jul 25, 2021, Dec 31, 2018, May 1, 2018 (3 updates tracked since 2018).

About Sohaip Mohammad Shafeeq Kabashneh M.d NPPES

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

SOHAIP MOHAMMAD SHAFEEQ KABASHNEH M.D (NPI 1629566054) is an individual student in an organized health care education/training program in Worcester, Massachusetts and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with Utah Valley Hospital, and maintains a secondary practice location in Provo.

NPPES Registry Identity

NPI1629566054
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSOHAIP MOHAMMAD SHAFEEQ KABASHNEHCredential: M.D
Location Address55 LAKE AVE NWorcester, MA 01655-0002
Mailing Address55 Lake Ave NWorcester, MA 01655-0002
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateMay 1, 2018
Last NPPES UpdateJuly 25, 20213 updates tracked since enumeration
NPPES CertifiedJuly 25, 2021
✔ NPI 1629566054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
55 LAKE AVE N, Worcester, MA 01655

Secondary Practice Location 1

Location 11034 N 500 WProvo, UT 84604-3337 · Phone (248) 890-4995

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

Sohaip Mohammad Shafeeq Kabashneh 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 ID4981951019
PECOS Enrollment IDI20240607003157
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

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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
18 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Utah Valley Hospital

Acute Care Hospitals · Provo, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460001
Location1034 North 500 WestProvo, UT 84604 · Utah County
Emergency services Birthing friendly

American Fork Hospital

Acute Care Hospitals · American Fork, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460023
Location170 North 1100 EastAmerican Fork, UT 84003 · Utah County
Emergency services Birthing friendly

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.

Emergency Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Nurse Practitioner
55 LAKE AVE N, DEPARTMENT OF RADIOLOGY
WORCESTER, MA 01655
Nurse Anesthetist, Certified Registered
55 LAKE AVE N, DEPARTMENT OF ANESTHESIOLOGY
WORCESTER, MA 01655
Physician Assistant
55 LAKE AVE N
WORCESTER, MA 01655
Internal Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Internal Medicine (Hematology & Oncology)
55 LAKE AVE N
WORCESTER, MA 01655
Anesthesiology
55 LAKE AVE N, ANESTHESIOLOGY
WORCESTER, MA 01655
Anesthesiology
55 LAKE AVE N
WORCESTER, MA 01655

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 Sohaip Kabashneh's NPI number?

The NPI number for Sohaip Kabashneh is 1629566054. It was assigned to this individual provider in the NPPES registry on May 1, 2018.

Where is Sohaip Kabashneh located?

Sohaip Kabashneh practices at 55 Lake Ave N, Worcester, MA 01655. The listed phone number is (508) 334-1131.

What is Sohaip Kabashneh's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Sohaip Kabashneh enrolled in Medicare?

Yes. Sohaip Kabashneh 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 Sohaip Kabashneh accept?

Health plans from Select Health list Sohaip Kabashneh 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 Sohaip Kabashneh affiliated with any hospitals?

According to CMS data, Sohaip Kabashneh is affiliated with Utah Valley Hospital and American Fork Hospital.

When was this NPI record last updated?

The NPPES record for Sohaip Kabashneh was last updated on July 25, 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.