Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mehrunissa Kazim, MD

Individual provider Internal Medicine Physician · NPI 1043763782

Mehrunissa Kazim, MD is an Internal Medicine in Worcester, Massachusetts. Qualified in 2012, 14 years ago. Practices with Sha LLC, a 2-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kentucky and Massachusetts.

Years since qualifying
14
Licensed in
KY, MA
In the registry since
2016
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

123 Summer St
Worcester, MA 01608-1216
Phone: (508) 363-6208
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 200 Abraham Flexner Way, Louisville, KY 40202-2877 — (502) 587-4267

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 267641 (MA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 58043 (KY)

Record details

NPI number1043763782
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 29, 2016
Last updated in NPPESJuly 13, 2023
Certification dateJuly 13, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Sha Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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