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DR. ZAFAR A SHEIK M.D.
NPI 1790787711
Specialist in Warren, OH

Active since August 10, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
3921 E MARKET ST, BUILDING III SECOND FLOOR, WARREN, OH 44484(330) 856-3300(330) 856-4539 Get Directions Write a Review

NPPES record last updated: December 29, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Zafar A Sheik M.d. NPPES

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

DR. ZAFAR A SHEIK M.D. (NPI 1790787711) is an individual specialist in Warren, Ohio, licensed in Ohio (35079785S) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of Medical College Of Ohio (1996).

NPPES Registry Identity

NPI1790787711
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. ZAFAR A SHEIKCredential: M.D.
Location Address3921 E MARKET ST, BUILDING III SECOND FLOORWarren, OH 44484-4711
Mailing Address3921 E Market St, Building Iii Second FloorWarren, OH 44484-4711 · (330) 856-3300 · Fax (330) 856-4539
Phone(330) 856-3300
Fax(330) 856-4539
Sole ProprietorNo
Medical School CMSMedical College Of OhioGraduated 1996
Enumeration DateAugust 10, 2005
Last NPPES UpdateDecember 29, 2014
✔ NPI 1790787711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in OH · 35079785S
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3921 E MARKET ST, Warren, OH 44484
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Other Identifiers 2

Medicaid2270715OH
Medicare UPINH31847OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Zafar A Sheik 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 ID3971537358
PECOS Enrollment IDI20110408000073
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Zafar Sheik reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Eye Care Associates, Inc
2.1 mi
Ophthalmology
4060 N RIVER RD NE
Warren, OH 44484
  • Reassigned Medicare billing, Ohio enrollment
  • 17 clinicians in this Medicare group
NPI 1245315068 (330) 746-7691
Center For Advanced Eye Surgery, Ltd
18 mi
Ambulatory Surgical
1031 W WESTERN RESERVE RD
Poland, OH 44514
  • Reassigned Medicare billing, Ohio enrollment
  • 8 clinicians in this Medicare group
NPI 1689657058 (330) 965-0900

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 11

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.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
1,288 services142 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
394 services172 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.
327 services196 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.
242 services235 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.
108 services108 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
84 services83 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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

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.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier11 claims11 services$56.02 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 6

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

WARREN OPHTHALMOLOGY ASSOCIATES, CORP.
Ophthalmology
3921 E MARKET ST
WARREN, OH 44484
Trumbull County (330) 856-3300
STEPHEN MARK PLESICH D.O.
Otolaryngology (Otolaryngic Allergy)
3921 E MARKET ST, BLDG. III
WARREN, OH 44484
Trumbull County (330) 856-2045
R D OPTICAL CO
Eyewear Supplier
3921 E MARKET ST
WARREN, OH 44484
Trumbull County (330) 856-6873
DR. CARLA DARAK-BOLINO O.D.
Optometrist
3921 E MARKET ST, BUILDING III SECOND FLOOR
WARREN, OH 44484
Trumbull County (330) 856-3300
DR. NIGEL K NEWMAN M.D.
Specialist
3921 E MARKET ST, BUILDING III SECOND FLOOR
WARREN, OH 44484
Trumbull County (330) 856-3300
DR. FRANK A D'APOLITO O.D.
Optometrist
3921 E MARKET ST, BUILDING III SECOND FLOOR
WARREN, OH 44484
Trumbull County (330) 856-3300

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 Zafar Sheik's NPI number?

The NPI number for Zafar Sheik is 1790787711. It was assigned to this individual provider in the NPPES registry on August 10, 2005.

Where is Zafar Sheik located?

Zafar Sheik practices at 3921 E Market St Building III Second Floor, Warren, OH 44484. The listed phone number is (330) 856-3300.

What is Zafar Sheik's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Zafar Sheik enrolled in Medicare?

Yes. Zafar Sheik 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.

Which organizations bill Medicare for Zafar Sheik's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Zafar Sheik reassigns Medicare benefits to 2 organizations: Eye Care Associates, Inc (Warren, OH) and Center For Advanced Eye Surgery, Ltd (Poland, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Zafar Sheik's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Zafar Sheik accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Montana and 14 other insurers list Zafar Sheik 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 Zafar Sheik was last updated on December 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.