ARFASSA SHIFERAW – Family Medicine Physician, NPI 1093036774

ARFASSA SHIFERAW is a healthcare provider. based in Baltimore, Maryland. specializing in FAMILY PRACTICE. They hold a License No. D0076219 (MD). The NPI Number for ARFASSA SHIFERAW is 1093036774

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
ARFASSA SHIFERAW
NPI
1093036774
Phone
(410) 933-5412
Address
9910 FRANKLIN SQUARE DR # 2110
Enumeration Date
17 June 2010
Last Update Date
29 May 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8008132000
Graduation Year
2009 (17 years ago)
PAC ID
3072747005
Group Practice PAC ID
5799688230
Professional Enrollment ID
I20191220002237
Address ID
OR970053460BE4855XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

1,488 FAMILY PRACTICE in MD

Provider Addresses for ARFASSA SHIFERAW

  • 9910 FRANKLIN SQUARE DR # 2110

    BALTIMORE, MD 212364902

    Phone: (410) 933-5412

    Type: Mailing

  • 8115 MAPLE LAWN BLVD STE 140

    FULTON, MD 20759

    Phone: (240) 459-1800

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-03-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20191220002237IFamily PracticeORTBD
I20250317000641IFamily PracticeWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 21236)

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Provider's Procedures

ARFASSA SHIFERAW performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEMD83036Hemoglobin A1C level1412

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5799688230View full group profile
NameSpecialtyState
U R O L O G YTX
Emergency MedicineOR
D E R M A T O L O G YAZ
Nurse PractitionerOR
Diagnostic RadiologyOR
D E R M A T O L O G YWA
-OR
-CA
General SurgeryCA
-OR

Reviews

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Frequently asked questions

Is there an official ID for ARFASSA SHIFERAW in U.S. healthcare records?
The official identifier for ARFASSA SHIFERAW is NPI 1093036774.
Is there an active status for ARFASSA SHIFERAW?
For scheduling context, ARFASSA SHIFERAW is shown as active in the registry.
What kind of doctor is ARFASSA SHIFERAW?
ARFASSA SHIFERAW is associated with Family Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with ARFASSA SHIFERAW?
Directory geography for ARFASSA SHIFERAW centers on Baltimore, Maryland.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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