NAJMI SHAHBAZ MD, MPH
NPI 1811516099
Family Medicine in Sioux Falls, SD

Q: What is Najmi Shahbaz's NPI number?

The NPI number for Najmi Shahbaz is 1811516099. It was assigned to this individual provider in the NPPES registry on April 8, 2020.

Q: What is Najmi Shahbaz's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Najmi Shahbaz was last updated on November 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 08, 2020PECOS EnrolledAccepts Medicare Assignment

90.18/100

CMS Quality Rating

6110 S MINNESOTA AVE, SIOUX FALLS, SD 57108(605) 332-2571 Get Directions Write a Review

NPPES record last updated: November 3, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 3, 2023, Apr 7, 2022, Apr 8, 2020 (3 updates tracked since 2020).

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About Najmi Shahbaz Md, Mph NPPES

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

NAJMI SHAHBAZ MD, MPH (NPI 1811516099) is an individual family medicine provider in Sioux Falls, South Dakota, licensed in South Dakota (14516) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Sanford Usd Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1811516099

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameNAJMI SHAHBAZCredential: MD, MPH

Location Address6110 S MINNESOTA AVESioux Falls, SD 57108-2549

Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074

Phone(605) 332-2571

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateApril 8, 2020

Last NPPES UpdateNovember 3, 20233 updates tracked since enumeration

NPPES CertifiedNovember 3, 2023

✔ NPI 1811516099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in SD · 14516

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

6110 S MINNESOTA AVE, Sioux Falls, SD 57108

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan, Security Health Plan.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

Najmi Shahbaz Md, Mph 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 ID6901221944

PECOS Enrollment IDI20220720002399

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 3

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 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.

46 services43 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.

40 services33 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

23 services15 patients

Hospital Affiliations CMS Care Compare

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

Sanford Usd Medical Center

Acute Care Hospitals · Sioux Falls, SD

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number430027

Location1305 W 18th St Post Office Box 5039Sioux Falls, SD 57117 · Minnehaha County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57108 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

$85.21 typical visit price

range $55.52 – $167.23

Typical copayment $21.30 (range $13.88 – $41.80)

Most-billed visit code 99203

Established Patient

$97.88 typical visit price

range $18.08 – $137.08

Typical copayment $24.47 (range $4.52 – $34.27)

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.

90.18/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

86.69

Improvement Activities

Cost

91.67

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.

KAITLYN SARAH ISAACSON CNP

Nurse Practitioner (Family)