DR. SHAFI ALI KHAN LODHI (MD) – Behavioral Neurology & Neuropsychiatry Physician, NPI 1922539337

DR. SHAFI ALI KHAN LODHI (MD) is a healthcare provider. based in Boston, Massachusetts. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. 1016124 (MA). The NPI Number for DR. SHAFI ALI KHAN LODHI (MD) is 1922539337

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. SHAFI ALI KHAN LODHI (MD)
NPI
1922539337
Phone
(617) 889-8515
Address
55 Fruit St
Enumeration Date
27 March 2017
Last Update Date
11 June 2025

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Secondary Phone
6177262000
Graduation Year
2017 (9 years ago)
PAC ID
1153690300
Group Practice PAC ID
6507803806
Professional Enrollment ID
I20240226003037
Address ID
MA021142621BO55XXXSTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness75
Years active:9State licenses:3Digital endpointsOther names

1,755 PSYCHIATRY in MA

Provider Addresses for DR. SHAFI ALI KHAN LODHI (MD)

  • 55 Fruit St

    Boston, MA 021142621

    Phone: (617) 889-8515

    Type: Location

  • Logan Hall, 311, Albert Sabin Way, Pill Hill, Corryville, Cincinnati, Hamilton County, Ohio, 45229, United States

    CINCINNATI, OH 452292838

    Phone: (513) 558-5125

    Fax: (513) 558-8838

    Type: Mailing

  • 208 STEWART DR

    MOUNTAIN VIEW, CA 940436582

    Phone: (573) 823-1949

    Type: Mailing

  • 1580 W EL CAMINO REAL STE 2

    MOUNTAIN VIEW, CA 940402461

    Phone: (650) 248-2467

    Type: Location

  • 9515 E FOWLER AVE STE 241

    THONOTOSASSA, FL 335922139

    Phone: (650) 789-1865

    Type: Mailing

  • 870 MARKET ST STE 341

    SAN FRANCISCO, CA 941023022

    Phone: (650) 248-2467

    Fax: (855) 452-6817

    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: 2024-02-26

PECOS data refreshed: 2026-06-15

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
I20220414000510IPsychiatryCATBD
I20240226003037IPsychiatryMATBD

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 02114)

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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: 6507803806View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YMA
Clinical PsychologistMA
P S Y C H I A T R YMA
Internal MedicineMA
Internal MedicineMA
-MA
-MA
Anesthesiology, Pain ManagementMA
-MA
P S Y C H I A T R YMA

Reviews

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Frequently asked questions

Does DR. SHAFI ALI KHAN LODHI (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. SHAFI ALI KHAN LODHI (MD) uses 1922539337.
Can I rely on DR. SHAFI ALI KHAN LODHI (MD) being an active provider?
As of the registry snapshot, DR. SHAFI ALI KHAN LODHI (MD) is marked active.
What is DR. SHAFI ALI KHAN LODHI (MD) best known for clinically?
Directory data describes DR. SHAFI ALI KHAN LODHI (MD) with Behavioral Neurology & Neuropsychiatry Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. SHAFI ALI KHAN LODHI (MD)?
DR. SHAFI ALI KHAN LODHI (MD)'s geographic hint is Boston, Massachusetts in our summary view.
Is the information about DR. SHAFI ALI KHAN LODHI (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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