JEFFREY SHAW HAKIM (MD PHD) – Neurological Surgery Physician, NPI 1164955373

JEFFREY SHAW HAKIM (MD PHD) is a healthcare provider. based in Charlottesville, Virginia. specializing in NEUROSURGERY. They hold the professional credentials MD PHD. They hold a License No. MED-PHYS-LIC-143890 (MT). The NPI Number for JEFFREY SHAW HAKIM (MD PHD) is 1164955373

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
JEFFREY SHAW HAKIM (MD PHD)
NPI
1164955373
Phone
(434) 924-2203
Address
1215 Lee St
Enumeration Date
5 April 2017
Last Update Date
9 August 2024

Doctor Profile

Medical School Name
MAYO MEDICAL SCHOOL
Secondary Phone
3032375577
Graduation Year
2017 (9 years ago)
PAC ID
0143591412
Group Practice PAC ID
3476457714
Professional Enrollment ID
I20240822002568
Address ID
MT591010731BI1041XSTXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

183 NEUROSURGERY in VA

Provider Addresses for JEFFREY SHAW HAKIM (MD PHD)

  • 1215 Lee St

    Box 800212

    Charlottesville, VA 229080816

    Phone: (434) 924-2203

    Fax: (434) 924-9656

    Type: Location

  • University of Virginia Medical Center, 1215, Lee Street, Jefferson Park Avenue, Starr Hill, Charlottesville, Virginia, 22908, United States

    BOX 800212

    CHARLOTTESVILLE, VA 229080816

    Phone: (434) 924-2203

    Fax: (434) 924-9656

    Type: Location

  • 1041 N 29TH ST

    BILLINGS, MT 591010731

    Phone: (406) 237-5577

    Fax: (406) 237-5575

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 39 Open Payments records for all available years, with a total value of $8,563.

Total Amount is formed as General ($8,563) + Research ($0) + Ownership ($0) = $8,563.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Penumbra, Inc. ($6,108).

Total Amount

$8,563

General + Research + Ownership

Payments

39

Total payment records

General Amount

$8,563

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: 2024-08-22

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
I20240822002568INeurosurgeryMTTBD

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 22908)

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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: 3476457714View full group profile
NameSpecialtyState
-MT
N E U R O L O G YAZ
Physician AssistantMT
N E U R O S U R G E R YMT
H E M A T O L O G Y/ O N C O L O G YCA
-MT
Rheumatology, Internal MedicineMT
N E U R O L O G YMT
Physician AssistantMT
-MT

Reviews

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Frequently asked questions

Does JEFFREY SHAW HAKIM (MD PHD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JEFFREY SHAW HAKIM (MD PHD) uses 1164955373.
Is JEFFREY SHAW HAKIM (MD PHD) listed as active for patients and plans?
The listing shows JEFFREY SHAW HAKIM (MD PHD) as active in the NPI system.
What healthcare role does JEFFREY SHAW HAKIM (MD PHD) hold?
Scheduling teams often label JEFFREY SHAW HAKIM (MD PHD) under Neurological Surgery Physician. Clinical services aligned with this taxonomy classification.
Where should I expect JEFFREY SHAW HAKIM (MD PHD) on a map?
Expect Charlottesville, Virginia as a primary anchor for JEFFREY SHAW HAKIM (MD PHD) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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