DARAKHSHAN F SHAMSIE MD
NPI 1821033481
Internal Medicine - Hospice and Palliative Medicine in Clifton, NJ

Q: What is Darakhshan Shamsie's NPI number?

The NPI number for Darakhshan Shamsie is 1821033481. It was assigned to this individual provider in the NPPES registry on June 18, 2006.

Q: What is Darakhshan Shamsie's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207RH0002X.

Active since June 18, 2006PECOS EnrolledAccepts Medicare Assignment

85.17/100

CMS Quality Rating

889 ALLWOOD RD, CLIFTON, NJ 07012(862) 662-2221(862) 661-2230 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Darakhshan F Shamsie Md NPPES

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

DARAKHSHAN F SHAMSIE MD (NPI 1821033481) is an individual hospice and palliative medicine provider in Clifton, New Jersey, licensed in New Jersey (25MA12101700) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1987).

NPPES Registry Identity

NPI1821033481

Entity TypeIndividualFemale

Primary Taxonomy207RH0002X

Provider Legal NameDARAKHSHAN F SHAMSIECredential: MD

Location Address889 ALLWOOD RDClifton, NJ 07012-1933

Mailing Address889 Allwood RdClifton, NJ 07012-1933 · (862) 662-2221 · Fax (862) 661-2230

Phone(862) 662-2221

Fax(862) 661-2230

Sole ProprietorNo

Medical School CMSOtherGraduated 1987

Enumeration DateJune 18, 2006

Last NPPES UpdateJuly 30, 2025

NPPES CertifiedJuly 30, 2025

✔ NPI 1821033481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RH0002X

Licenses✔ Licensed in NJ · 25MA12101700✔ Licensed in NY · 201125-1

Definition

An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.

Also ListedInternal MedicineTaxonomy 207R00000X · License 201125 (NY)

889 ALLWOOD RD, Clifton, NJ 07012

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Other Identifiers 2

Medicaid01674120NY

Medicaid1003151NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.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

Darakhshan F Shamsie Md 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 ID4981633138

PECOS Enrollment IDI20240620001574

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

Medicare enrollment records show Darakhshan Shamsie reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Radiology Group Of New Jersey, LLC

34 mi

Multi-Specialty

651 WILLOW GROVE ST
Hackettstown, NJ 07840

Reassigned Medicare billing, New Jersey enrollment
429 clinicians in this Medicare group

NPI 1174010540 (908) 979-1621

Fairport Baptist Homes

229 mi

Skilled Nursing Facility

4646 NINE MILE POINT RD
Fairport, NY 14450

Reassigned Medicare billing, New York enrollment
10 clinicians in this Medicare group

NPI 1164435111 (585) 388-2303

The Highlands Living Center Inc

231 mi

Skilled Nursing Facility

500 HAHNEMANN TRL
Pittsford, NY 14534

Reassigned Medicare billing, New York enrollment
4 clinicians in this Medicare group

NPI 1396742755 (585) 383-1700

Highland Hospital Of Rochester

237 mi

Nephrology

1000 SOUTH AVE
Rochester, NY 14620

Reassigned Medicare billing, New York enrollment
465 clinicians in this Medicare group

NPI 1043597826 (585) 341-6895

Tapestry Telehealth PLLC

479 mi

Geriatric Medicine

230 CHERRY ST
Chillicothe, OH 45601

Reassigned Medicare billing, New Jersey enrollment
37 clinicians in this Medicare group

NPI 1992215446 (203) 666-8145

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 7

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307

A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.

166 services166 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

52 services50 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

43 services25 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

35 services21 patients

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348

An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.

34 services23 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

22 services21 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.

85.17/100

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

Scored as part of a group practice

Quality

70.92

Promoting Interoperability

100

Improvement Activities

Cost

62.98

Referred Medical Equipment & Supplies CMS DME claims 2

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

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035

Other-Enteral and Parenteral · category OB006N

1 supplier13 claims182 services$4.12 avg. paid by Medicare

Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4154

Other-Enteral and Parenteral · category OB006N

1 supplier13 claims2,772 services$0.52 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 4

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

AMERICAN ARTHRITIS & RHEUMATOLOGY ASSOCIATES-NJ PC

Internal Medicine (Rheumatology)

889 ALLWOOD RD
CLIFTON, NJ 07012

Passaic County (561) 336-1600

NEW LIFE RHEUMATOLOGY CENTER LLC

Specialist

889 ALLWOOD RD
CLIFTON, NJ 07012

Passaic County (973) 778-6800

MANLING LIN MSN,RN,NP-C

Nurse Practitioner (Adult Health)

889 ALLWOOD RD
CLIFTON, NJ 07012

Passaic County (973) 778-6800

DR. ALICE CHU M.D.

Specialist

889 ALLWOOD RD
CLIFTON, NJ 07012

Passaic County (973) 778-6800

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 Darakhshan Shamsie's NPI number?

The NPI number for Darakhshan Shamsie is 1821033481. It was assigned to this individual provider in the NPPES registry on June 18, 2006.

Where is Darakhshan Shamsie located?

Darakhshan Shamsie practices at 889 Allwood Rd, Clifton, NJ 07012. The listed phone number is (862) 662-2221.

What is Darakhshan Shamsie's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207RH0002X.

Is Darakhshan Shamsie enrolled in Medicare?

Yes. Darakhshan Shamsie 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 Darakhshan Shamsie's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Darakhshan Shamsie reassigns Medicare benefits to 5 organizations: The Radiology Group Of New Jersey, LLC (Hackettstown, NJ), Fairport Baptist Homes (Fairport, NY), The Highlands Living Center Inc (Pittsford, NY), Highland Hospital Of Rochester (Rochester, NY) and Tapestry Telehealth PLLC (Chillicothe, 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 Darakhshan Shamsie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Darakhshan Shamsie accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Darakhshan Shamsie 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 Darakhshan Shamsie was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.