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SHAKELL ANJUM MD NPI 1639169394


NPI Information

NPI: 1639169394
Provider Name: SHAKELL ANJUM, MD
Classification: Internal Medicine - 207RN0300X
Entity Type: Individual

Specialization: Nephrology

PECOS Registration: Yes

Address:
1200 6TH AVE N
SAINT CLOUD, MN
ZIP 56303
Phone: (320) 252-5131
Get Directions

Shakell Anjum, MD is a nephrology internal medicine in Saint Cloud, MN with 34 years of experience. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. Shakell Anjum, MD NPI is 1639169394. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1200 6TH AVE N
SAINT CLOUD, MN
ZIP 56303-735
Phone: (320) 252-5131
Fax: (320) 240-2118

The NPI 1639169394 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Dialysis services (2-3 physician visits per month), patient 20 years of age and older (HCPCS:90961)
  • Dialysis services (4 or more physician visits per month), patient 20 years of age and older (HCPCS:90960)
  • Hemodialysis procedure with one physician evaluation (HCPCS:90935)
  • Home dialysis services per month, patient 20 years of age or older (HCPCS:90966)
  • Dialysis services (1 physician visit per month), patient 20 years of age and older (HCPCS:90962)

The enumeration date for this NPI number is 10/25/2005 and was last updated on 11/22/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RN0300XInternal MedicineNephrology42474MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13100203OTHERMEDICA HEALTH PLANS
2706S0ANOTHERBLUE CROSS BLUE SHIELD
31040410OTHERPREFERRED ONE
42013639OTHERARAZ GROUP AMERICAS PPO
52197290OTHERFIRST HEALTH PLAN
66D05CEOTHERBLUE CROSS BLUE SHIELD
7P00089413OTHERRR MEDICARE
8131075OTHERU CARE
9390000342MEDICARE ID-TYPE UNSPECIFIED
10HP40048OTHERHEALTH PARTNERS
11801974600OTHERMEDICAL ASSISTANCE
12CI1369OTHERRR MEDICARE
13H99053MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.