SHURUK HAIB (M.D) – Family Medicine Physician, NPI 1124649033

SHURUK HAIB (M.D) is a healthcare provider. based in Joplin, Missouri. specializing in FAMILY PRACTICE. They hold the professional credentials M.D. They hold a License No. 2023026694 (MO). The NPI Number for SHURUK HAIB (M.D) is 1124649033

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
SHURUK HAIB (M.D)
NPI
1124649033
Phone
(417) 556-2780
Address
2216 E 32ND ST STE 101
Enumeration Date
1 May 2020
Last Update Date
26 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4175565230
Graduation Year
2018 (8 years ago)
PAC ID
0042672065
Group Practice PAC ID
0547300196
Professional Enrollment ID
I20230808002511
Address ID
MO648043015JO2216XSTXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

2,332 FAMILY PRACTICE in MO

Provider Addresses for SHURUK HAIB (M.D)

  • 2216 E 32ND ST STE 101

    JOPLIN, MO 648043015

    Phone: (417) 556-2780

    Fax: (417) 556-2781

    Type: Mailing

  • 2810 W. EXPRESSWAY 83

    MERCEDES, TX 78570

    Phone: (956) 296-1816

    Fax: (956) 296-2970

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $247.

Total Amount is formed as General ($247) + Research ($0) + Ownership ($0) = $247.

Last reported payment date: 2024-10-23 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($50).

Total Amount

$247

General + Research + Ownership

Payments

14

Total payment records

General Amount

$247

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-23

Latest reported date

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: 2023-08-08

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
I20230808002511IFamily PracticeMOTBD

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 64804)

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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: 0547300196View full group profile
NameSpecialtyState
Physician AssistantMO
Physician AssistantMO
Nurse PractitionerMO
Physician AssistantIL
Family PracticeMO
Vascular SurgeryID
-MO
Orthopedic SurgeryKS
N E U R O L O G YMO
-MO

Reviews

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Frequently asked questions

How do payers reference SHURUK HAIB (M.D)?
For SHURUK HAIB (M.D), use NPI 1124649033 as the unique 10-digit identifier.
Is SHURUK HAIB (M.D) shown as active in public data?
Registry records indicate SHURUK HAIB (M.D) maintains an active NPI.
How would a patient describe SHURUK HAIB (M.D)'s focus?
For SHURUK HAIB (M.D), the primary taxonomy reads as Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Missouri is SHURUK HAIB (M.D) registered?
Use Joplin, Missouri as the headline location for SHURUK HAIB (M.D) here.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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