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DR. ZAHRA SARDAR SHEIKH MD
NPI 1851389522
Internal Medicine - Geriatric Medicine in Worcester, MA

Active since October 07, 2005PECOS EnrolledAccepts Medicare Assignment
97.02/100
CMS Quality Rating
291 LINCOLN ST, WORCESTER, MA 01605(508) 334-6251(508) 334-6906 Get Directions Write a Review

NPPES record last updated: May 1, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Zahra Sardar Sheikh Md NPPES

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

DR. ZAHRA SARDAR SHEIKH MD (NPI 1851389522) is an individual geriatric medicine provider in Worcester, Massachusetts, licensed in Massachusetts (226913) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS, is affiliated with Umass Memorial Health - Harrington Hospital, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1851389522
Entity TypeIndividualFemale
Primary Taxonomy207RG0300X
Provider Legal NameDR. ZAHRA SARDAR SHEIKHCredential: MD
Location Address291 LINCOLN STWorcester, MA 01605-3643
Mailing AddressPo Box 415348Boston, MA 02241-5348
Phone(508) 334-6251
Fax(508) 334-6906
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateOctober 7, 2005
Last NPPES UpdateMay 1, 2022
NPPES CertifiedMay 1, 2022
✔ NPI 1851389522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License✔ Licensed in MA · 226913
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
291 LINCOLN ST, Worcester, MA 01605
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Other Identifiers 2

Medicaid110074214AMA
Medicaid2128616MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Dr. Zahra Sardar Sheikh 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 ID5799783213
PECOS Enrollment IDI20061117000094
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 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.

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
220 services97 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.
121 services56 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.
105 services85 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
31 services30 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
31 services21 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
24 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Umass Memorial Health - Harrington Hospital

Acute Care Hospitals · Southbridge, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220019
Location100 South StreetSouthbridge, MA 01550 · Worcester County
Emergency services

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220163
Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01605 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
$177.36 typical visit price
range $58.86 – $177.36
Typical copayment $44.34 (range $14.71 – $44.34)
Most-billed visit code 99205
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

97.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.09
Promoting Interoperability100
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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers20 claims48 services$6.05 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.

DR. MARY R HAWTHORNE M.D.
Internal Medicine
291 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 791-8524
DR. JAMES E FANALE M.D.
Internal Medicine
291 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 334-6251
SEVIL HEMAYAT M.D
Internal Medicine
291 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 791-8524
MARIAN SABA MD
Internal Medicine
291 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 791-8524
MS. TRACY M. CORMIER NP
Nurse Practitioner
291 LINCOLN ST, EMPLOYEE HEALTH
WORCESTER, MA 01605
Worcester County (508) 793-6400
DR. HAWA OZIEN ABU MD
Internal Medicine (Geriatric Medicine)
291 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 334-6251
DOUGLAS MISAEL PALACIOS HERNANDEZ
Internal Medicine
291 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 799-2922
HAHNEMANN UROLOGY ASSOCIATES, INC.
Urology
291 LINCOLN ST, SUITE 201
WORCESTER, MA 01605
Worcester County (508) 755-8663

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 Zahra Sheikh's NPI number?

The NPI number for Zahra Sheikh is 1851389522. It was assigned to this individual provider in the NPPES registry on October 7, 2005.

Where is Zahra Sheikh located?

Zahra Sheikh practices at 291 Lincoln St, Worcester, MA 01605. The listed phone number is (508) 334-6251.

What is Zahra Sheikh's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Zahra Sheikh enrolled in Medicare?

Yes. Zahra Sheikh 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 Zahra Sheikh accept?

Health plans from Anthem Blue Cross and Blue Shield list Zahra Sheikh 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 Zahra Sheikh affiliated with any hospitals?

According to CMS data, Zahra Sheikh is affiliated with Umass Memorial Health - Harrington Hospital and Umass Memorial Medical Center/University Campus.

When was this NPI record last updated?

The NPPES record for Zahra Sheikh was last updated on May 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.