Sheba Naqvi, MD
NPI 1093001018ActiveIndividual· Family Medicine· Cumming, GA
Family Medicine (MD) in Cumming, Georgia, licensed in GA, with an NPI issued in June 2011. Their prescriptions cost Medicare Part D more than their services did: $68,738 for 643 claims, against $9,243 paid for services in 2024. Phathom Pharmaceuticals, Inc. reported $9.28 in payments in 2025, mostly food and beverage. Lists Northside Hospital Forsyth as a hospital affiliation.
Overview
| NPI | 1093001018 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jun 28, 2011 |
| Last updated in NPPES | Feb 9, 2024 |
| Certified by provider | Feb 9, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 68922 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 26 |
|---|---|
| Services billed | 186 across 40 procedure codes |
| Paid by Medicare | $9,243 |
Part D prescriptions in 2024
| Prescriptions (claims) | 643 · 1,303 30-day fills |
|---|---|
| Patients | 121 |
| Total drug cost | $68,738 |
| Generic share | 86% of claims |
Education and affiliations
| Graduation year | 2002 |
|---|---|
| Medicare specialty | Family Practice |
Hospital affiliation
- Northside Hospital ForsythCumming, GA
Industry payments (Open Payments)
- 2025$9.28 · 1 payment from 1 company
- 2024$156.89 · 9 payments from 5 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Phathom Pharmaceuticals, Inc. | $9.28 | 1 |
What the 2025 payments were for
- Food and Beverage$9.28 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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