DR. BAYINNAH SHABAZZ (M.D.) – Nephrology Physician, NPI 1104824465
Nephrology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. BAYINNAH SHABAZZ (M.D.)
1589, Sulphur Spring Road, Halethorpe, Arbutus, Baltimore County, Maryland, 21227, United States
SUITE 109
BALTIMORE, MD 212272542
Phone: (410) 536-5400
Fax: (410) 737-2168
Type: Mailing
808 LANDMARK DR
SUITE 122
GLEN BURNIE, MD 210614983
Phone: (410) 760-3588
Fax: (410) 760-3604
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: 2020-06-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100513000215 | I | Nephrology | MD | TBD |
| I20200612001769 | I | Nephrology | DC | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | 253 | 44 | $0 |
| 90961 | Dialysis services, 2-3 physician visits per month (20 years or older) | 25 | 16 | $0 |
Insurance plans in this area (ZIP 21227)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NEPHROLOGY | MD | 90961 | Dialysis services (2-3 physician visits per month), patient 20 years of age and older | 96 | 52 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MD | |
| N E P H R O L O G Y | MD | |
| Internal Medicine, Nephrology | MD | |
| - | MD | |
| Nurse Practitioner | MD | |
| N E P H R O L O G Y | MD | |
| Nephrology, Internal Medicine | DC | |
| Nephrology, Internal Medicine | MD | |
| Internal Medicine, Nephrology | MD | |
| Nephrology, Internal Medicine | MD |
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