SHAMIM N SCHROEDER (PA-C) – Urology Physician, NPI 1053044354

SHAMIM N SCHROEDER (PA-C) is a healthcare provider. based in Longmeadow, Massachusetts. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA100967 (MA). The NPI Number for SHAMIM N SCHROEDER (PA-C) is 1053044354

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
SHAMIM N SCHROEDER (PA-C)
NPI
1053044354
Phone
(413) 565-1000
Address
588 LONGMEADOW ST
Enumeration Date
5 July 2022
Last Update Date
15 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4137855321
Graduation Year
2024 (2 years ago)
PAC ID
4082143375
Group Practice PAC ID
9436120847
Professional Enrollment ID
I20250131001431
Address ID
MA011071139SP3640XSTXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:3State licenses:1Digital endpointsOther names

5,093 PHYSICIAN ASSISTANT in MA

Provider Addresses for SHAMIM N SCHROEDER (PA-C)

  • 588 LONGMEADOW ST

    LONGMEADOW, MA 011062212

    Phone: (413) 565-1000

    Type: Mailing

  • 3640 MAIN ST STE 103

    SPRINGFIELD, MA 011071139

    Phone: (413) 785-5821

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $179.

Total Amount is formed as General ($179) + Research ($0) + Ownership ($0) = $179.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Gilead Sciences, Inc. ($125).

Total Amount

$179

General + Research + Ownership

Payments

3

Total payment records

General Amount

$179

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2025-01-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20250131001431IPhysician AssistantMATBD

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 01106)

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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: 9436120847View full group profile
NameSpecialtyState
P A T H O L O G YMA
Physician AssistantMA
U R O L O G YCT
-MA
U R O L O G YMA
U R O L O G YMA
U R O L O G YMA
Nurse PractitionerMA
U R O L O G YMA
Physician AssistantMA

Reviews

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Frequently asked questions

What is SHAMIM N SCHROEDER (PA-C)'s NPI number?
SHAMIM N SCHROEDER (PA-C)'s NPI is 1053044354 — the number used across U.S. healthcare to identify this provider.
Would SHAMIM N SCHROEDER (PA-C) appear as active to a payer?
You can treat SHAMIM N SCHROEDER (PA-C) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe SHAMIM N SCHROEDER (PA-C)'s focus?
For SHAMIM N SCHROEDER (PA-C), the primary taxonomy reads as Urology Physician. Clinical services aligned with this taxonomy classification.
Where in Massachusetts is SHAMIM N SCHROEDER (PA-C) registered?
Use Longmeadow, Massachusetts as the headline location for SHAMIM N SCHROEDER (PA-C) here.
Can I trust this NPI listing for SHAMIM N SCHROEDER (PA-C)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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