DR. ARIF SHEIKH M.D.
NPI 1881653038
Nuclear Medicine in Philadelphia, PA
NPI Status: Active since March 17, 2006
Contact Information
3401 N BROAD ST
PHILADELPHIA, PA
ZIP 19140
Phone: (215) 707-7237
Fax: (215) 707-9389
- Individual
- Male
- Years of Experience 32
- Nuclear Medicine
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About ARIF SHEIKH
This page provides the complete NPI Profile along with additional information for Arif Sheikh, a provider established in Philadelphia, Pennsylvania with a medical specialization in Nuclear Medicine and more than 32 years of experience. He graduated from Wayne State University School Of Medicine in 1994. The healthcare provider is registered in the NPI registry with number 1881653038 assigned on March 2006. The practitioner's primary taxonomy code is 207U00000X with license number 35.140940 (OH). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1881653038
- Provider Name
- DR. ARIF SHEIKH M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3401 N BROAD ST PHILADELPHIA, PA 19140
- Location Phone
- (215) 707-7237
- Location Fax
- (215) 707-9389
- Mailing Address
- 2450 W HUNTING PARK AVE PHILADELPHIA, PA 19129
- Mailing Phone
- (215) 707-7237
- Mailing Fax
- (215) 707-9389
- Medical School Name
- WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
- Graduation Year
- 1994
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-17-2006
- Last Update Date
- 11-05-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nuclear Medicine
- Taxonomy Code
- 207U00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 35.140940
- License State
- OH
- Taxonomy Description
- A nuclear medicine specialist employs the properties of radioactive atoms and molecules in the diagnosis and treatment of disease and in research. Radiation detection and imaging instrument systems are used to detect disease as it changes the function and metabolism of normal cells, tissues and organs. A wide variety of diseases can be found in this way, usually before the structure of the organ involved by the disease can be seen to be abnormal by any other techniques. Early detection of coronary artery disease (including acute heart attack), early cancer detection and evaluation of the effect of tumor treatment, diagnosis of infection and inflammation anywhere in the body and early detection of blood clot in the lungs are all possible with these techniques. Unique forms of radioactive molecules can attack and kill cancer cells (e.g., lymphoma, thyroid cancer) or can relieve the severe pain of cancer that has spread to bone
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | 2004-01574 (NC) |
| 2 | 207U00000X | Allopathic & Osteopathic Physicians | Nuclear Medicine | 2004-01574 (NC) |
| 3 | 207U00000X | Allopathic & Osteopathic Physicians | Nuclear Medicine | MD034633 (DC) |
| 4 | 207U00000X | Allopathic & Osteopathic Physicians | Nuclear Medicine | MD462336 (PA) |
| 5 | 207UN0901X | Allopathic & Osteopathic Physicians | Nuclear Medicine | 2004-01574 (NC) |
| 6 | 207UN0902X | Allopathic & Osteopathic Physicians | Nuclear Medicine | 2004-01574 (NC) |
| 7 | 207UN0903X | Allopathic & Osteopathic Physicians | Nuclear Medicine | 2004-01574 (NC) |
| 8 | 207UN0903X | Allopathic & Osteopathic Physicians | Nuclear Medicine | 35.140940 (OH) |
| 9 | 2085R0202X | Allopathic & Osteopathic Physicians | Radiology | 35.140940 (OH) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 7500 $25 Generic Drugs - HMO
- Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness - HMO
- Core Gold 1500 $10 Generic Drugs - HMO
- Core Gold 1500 $10 Generic Drugs + Adult Vision & Fitness - HMO
- Diabetes Gold 3000 $0 Chronic Care Drugs & Services - HMO
- Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
- Diabetes Silver 5000 $0 Chronic Care Drugs & Services - HMO
- Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
- Gold 2000 $15 Generic Drugs - HMO
- Gold 2000 $15 Generic Drugs + Adult Vision & Fitness - HMO
- HDHP Preventive Silver 5500 $0 Chronic Care Drugs - HMO
- Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services - HMO
- Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
- Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services - HMO
- Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
- Low Premium Bronze 10600 $25 Generic Drugs - HMO
- Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & Fitness - HMO
- Low Premium Silver 6200 $3 Generic Drugs - HMO
- Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & Fitness - HMO
- Silver 6000 $20 Generic Drugs - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Arif Sheikh is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Arif Sheikh is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 5698762953
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20210715003096
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician
Nuclear medicine studies of heart muscle at rest and with stress and spect
Nuclear medicine study from skull base to mid-thigh with ct scan
Nuclear medicine study of bone and/or joint whole body
Nuclear medicine study of bone taken at different times
Nuclear medicine study of kidney, blood, flow, and function with drug administration
Nuclear medicine study of liver and bile duct system
Nuclear medicine study of liver and bile duct system with use of drugs
Nuclear medicine study of lung circulation
Nuclear medicine study of lung ventilation and circulation
Nuclear medicine study of parathyroid with spect and ct scan
Nuclear medicine study of stomach to assess emptying
Nuclear medicine study to assess blood loss
Nuclear medicine study whole body with ct scan
Nuclear medicine study, 1 area with spect
Nuclear medicine study, 1 area with spect and concurrent ct scan
An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.
This service was performed 110 times for 110 patientsAn exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.
This service was performed 110 times for 110 patientsNuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.
This service was performed 146 times for 146 patientsA nuclear medicine study from skull base to mid-thigh with a CT scan involves using a small amount of radioactive material and CT imaging to examine body tissues and organs. This helps detect any abnormalities by providing detailed images of the body's internal structure.
This service was performed 248 times for 239 patientsA nuclear medicine study of bone and/or joint whole body involves injecting a small amount of radioactive material into your body. This material travels to your bones and emits energy. A special camera captures this energy, creating images of your bones to help identify any abnormalities.
This service was performed 100 times for 93 patientsA nuclear medicine bone study involves injecting a small amount of radioactive material into your body. This material collects in the bones and is detected by a special camera to create images. These images are taken at different times to track changes and help diagnose bone conditions.
This service was performed 35 times for 33 patientsThis procedure helps analyze kidney function using a safe radioactive substance and special imaging. The substance is administered through an injection and travels to your kidneys. Images are then taken to assess blood flow and overall kidney function.
This service was performed 36 times for 34 patientsA nuclear medicine study of the liver and bile duct system involves the use of a small amount of radioactive material to create detailed images. This helps doctors examine the liver's function and structure, and detect any abnormalities in the bile ducts.
This service was performed 27 times for 27 patientsA nuclear medicine study of the liver and bile duct system involves injecting a safe, radioactive substance into the body. This substance helps create images of these areas on a special camera. It's often combined with drug use to improve image clarity and aid in diagnosing various conditions.
This service was performed 27 times for 27 patientsA nuclear medicine study of lung circulation involves the use of a safe, radioactive substance to visualize lung function. It helps in diagnosing conditions like blood clots. The substance is injected and images are taken to study the blood flow in your lungs.
This service was performed 30 times for 30 patientsA nuclear medicine lung ventilation and circulation study uses a safe radioactive material to create images of air and blood flow in your lungs. It helps identify issues like blood clots or lung diseases. You inhale or receive an injection of this material, and a special camera captures the images.
This service was performed 67 times for 67 patientsA nuclear medicine study of the parathyroid with SPECT and CT scan is a diagnostic procedure. It uses a safe radioactive substance and imaging techniques to create detailed pictures of your parathyroid glands. These images help identify any abnormalities or diseases.
This service was performed 13 times for 13 patientsA nuclear medicine study of the stomach assesses how quickly food leaves the stomach. A safe, radioactive substance is added to a meal. The radiation emitted is tracked, creating images that show the food's progress through the stomach. It's non-invasive and painless.
This service was performed 44 times for 39 patientsA nuclear medicine study is a type of imaging test. It uses a small amount of radioactive material to help identify blood loss. This material is injected into your body and detected by a special camera, providing images of your internal structures.
This service was performed 11 times for 11 patientsA Nuclear Medicine Study with a CT Scan is a diagnostic procedure. It uses a small amount of radioactive substance and a CT scan to create detailed images of your body. These images help doctors diagnose, monitor, and treat various conditions.
This service was performed 19 times for 19 patientsA nuclear medicine study with SPECT involves a safe, small amount of radioactive substance to help visualize body organs. SPECT, or Single Photon Emission Computed Tomography, creates detailed 3D images. This helps doctors diagnose and monitor conditions in a specific body area.
This service was performed 15 times for 15 patientsA nuclear medicine study with SPECT and concurrent CT scan is a special imaging test. It uses a small amount of radioactive substance and advanced imaging techniques to create detailed pictures of your internal body structures. It aids in diagnosing and tracking the progress of treatment for various diseases.
This service was performed 45 times for 42 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $34.29 for a new patient copayment and $26.3 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 19140 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $137.17
- Minimum New Patient Price $59.88
- Maximum New Patient Price $180.99
- Average New Patient Copayment $34.29
- Minimum New Patient Copayment $14.97
- Maximum New Patient Copayment $45.24
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $105.21
- Minimum Established Patient Price $19.3
- Maximum Established Patient Price $147.29
- Average Established Patient Copayment $26.3
- Minimum Established Patient Copayment $4.82
- Maximum Established Patient Copayment $36.82
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Arif Sheikh is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| KETTERING HEALTH MAIN CAMPUS | 3535 SOUTHERN BOULEVARD KETTERING, OH 45429 | (937) 395-8165 | Acute Care Hospitals | |
| SPRINGFIELD REGIONAL MEDICAL CENTER | 100 MEDICAL CENTER DRIVE SPRINGFIELD, OH 45504 | (937) 523-5500 | Acute Care Hospitals | |
| KETTERING HEALTH DAYTON | 405 GRAND AVENUE DAYTON, OH 45405 | (937) 723-3410 | Acute Care Hospitals | |
| KETTERING HEALTH MIAMISBURG | 4000 MIAMISBURG-CENTERVILLE ROAD MIAMISBURG, OH 45342 | (937) 384-8760 | Acute Care Hospitals | |
| SOIN MEDICAL CENTER | 3535 PENTAGON PARK BLVD BEAVER CREEK, OH 45431 | (937) 702-4000 | Acute Care Hospitals |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1881653038, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 62 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
PHILADELPHIA, PA 19140
PHILADELPHIA, PA 19140
PHILADELPHIA, PA 19140
PHILADELPHIA, PA 19140
PHILADELPHIA, PA 19140
PHILADELPHIA, PA 19140
PHILADELPHIA, PA 19140
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1881653038, enumerated as an "individual" on March 17, 2006.
The provider is located at 3401 N BROAD ST PHILADELPHIA, PA 19140 and the phone number is (215) 707-7237.
Nuclear Medicine with taxonomy code 207U00000X.
The provider might be accepting Accepts: CareSource. Please consult your insurance carrier or call the provider to verify.
Arif Sheikh is affiliated with: KETTERING HEALTH MAIN CAMPUS, SPRINGFIELD REGIONAL MEDICAL CENTER, KETTERING HEALTH DAYTON, KETTERING HEALTH MIAMISBURG and SOIN MEDICAL CENTER.
