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SHAMSUN NAHAR MD
NPI 1992779037
Internal Medicine in Danvers, MA

Active since February 15, 2006PECOS EnrolledAccepts Medicare Assignment
91.41/100
CMS Quality Rating
5 FEDERAL ST, LAHEY HEALTH PRIMARY CARE, DANVERS, DANVERS, MA 01923(978) 774-0730(978) 750-0246 Get Directions Write a Review

NPPES record last updated: August 11, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shamsun Nahar Md NPPES

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

SHAMSUN NAHAR MD (NPI 1992779037) is an individual internal medicine provider in Danvers, Massachusetts, licensed in Massachusetts (239533) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with Northeast Hospital Corporation, and is a graduate of Other (1984).

NPPES Registry Identity

NPI1992779037
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSHAMSUN NAHARCredential: MD
Location Address5 FEDERAL ST, LAHEY HEALTH PRIMARY CARE, DANVERSDanvers, MA 01923-5504
Mailing Address5 Federal St, Lahey Health Primary Care, DanversDanvers, MA 01923-5504 · (978) 774-0730 · Fax (978) 750-0246
Phone(978) 774-0730
Fax(978) 750-0246
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateFebruary 15, 2006
Last NPPES UpdateAugust 11, 2014
✔ NPI 1992779037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in MA · 239533✔ Licensed in VA · 0101228203
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
5 FEDERAL ST, Danvers, MA 01923
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Other Identifiers 12

Other39740VA · Sentara/optima
Other541595397VA · Tricare
Other541595397VA · Mid Atlantic Solutions
Medicare UPINH32796VA
Medicare ID-Type Unspecified004296B28VA
Medicaid010048541VA
Medicare PIN002581301MA
Other7819195VA · Aetna
Other104144VA · Anthem
Other541595397VA · Cigna
Other541595397VA · Virginia Health Network
Other541595397VA · Private Healthcare System

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

Shamsun Nahar 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 ID4486635919
PECOS Enrollment IDI20120331000013
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 10

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 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.
564 services332 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
248 services248 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
208 services208 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.
132 services109 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
32 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.
29 services26 patients

Hospital Affiliations CMS Care Compare 5

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

Northeast Hospital Corporation

Acute Care Hospitals · Beverly, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220033
Location85 Herrick StreetBeverly, MA 01915 · Essex County
Emergency services Birthing friendly

North Shore Medical Center -

Acute Care Hospitals · Salem, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220035
Location81 Highland AvenueSalem, MA 01970 · Essex County
Emergency services Birthing friendly

Beth Israel Deaconess Medical Center

Acute Care Hospitals · Boston, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220086
Location330 Brookline AvenueBoston, MA 02215 · Suffolk County
Emergency services Birthing friendly

Winchester Hospital

Acute Care Hospitals · Winchester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220105
Location41 Highland AvenueWinchester, MA 01890 · Middlesex County
Emergency services Birthing friendly

Lahey Hospital & Medical Center, Burlington

Acute Care Hospitals · Burlington, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220171
Location41 & 45 Mall RoadBurlington, MA 01803 · Middlesex County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01923 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
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.

91.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.87
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

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
12 suppliers39 claims90 services$5.53 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers17 claims21 services$0.86 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers13 claims13 services$68.17 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.

B. GEOFFREY PIKEN M.D.
Internal Medicine
5 FEDERAL ST
DANVERS, MA 01923
Essex County (978) 774-0730
JACOB SALLEY DPT
Physical Therapist
5 FEDERAL ST
DANVERS, MA 01923
Essex County (978) 739-7400
NADIA OUNIS-SKALI MD
Internal Medicine
5 FEDERAL ST, LAHEY DANVERS
DANVERS, MA 01923
Essex County (978) 774-0730
JESSICA E LANE-QUINQUIS MS, RD, LDN
Dietitian, Registered
5 FEDERAL ST
DANVERS, MA 01923
Essex County (978) 774-0730
JENNIFER LYNN LALONDE M.S.
Counselor (Mental Health)
5 FEDERAL ST
DANVERS, MA 01923
Essex County (978) 774-0730
MICHAEL AUSTIN WOODS M.D.
Pediatrics
5 FEDERAL ST
DANVERS, MA 01923
Essex County (978) 774-0730

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 Shamsun Nahar's NPI number?

The NPI number for Shamsun Nahar is 1992779037. It was assigned to this individual provider in the NPPES registry on February 15, 2006.

Where is Shamsun Nahar located?

Shamsun Nahar practices at 5 Federal St Lahey Health Primary Care, Danvers, Danvers, MA 01923. The listed phone number is (978) 774-0730.

What is Shamsun Nahar's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Shamsun Nahar enrolled in Medicare?

Yes. Shamsun Nahar 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 Shamsun Nahar accept?

Health plans from Anthem Blue Cross and Blue Shield list Shamsun Nahar 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 Shamsun Nahar affiliated with any hospitals?

According to CMS data, Shamsun Nahar is affiliated with Northeast Hospital Corporation, North Shore Medical Center -, Beth Israel Deaconess Medical Center, Winchester Hospital and Lahey Hospital & Medical Center, Burlington.

When was this NPI record last updated?

The NPPES record for Shamsun Nahar was last updated on August 11, 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.