Individual provider Active NPI

Shabana Perveen, M.D.

  • Surgery Physician
  • Huntington, NY
National Provider Identifier
1003046285
Registry record updated Jun 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
274938 Issued in NY
Practice address
755 New York Ave
Suite 108
Huntington, NY 11743-4240
Phone
(631) 470-1460
NPI assigned
Jul 21, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 274938 NY Primary

Addresses

Primary practice location

755 New York Ave
Suite 108
Huntington, NY 11743-4240

Mailing address

3 Arbor LN
Dix Hills, NY 11746-5101
Phone (405) 248-8489

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, DC, VA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20151230001009 NY Practitioner - General Surgery 9234431768 Reassigns benefits to 1 organization
I20210923002458 DC Practitioner - General Surgery 9234431768 Reassigns benefits to 2 organizations
I20220617002555 VA Practitioner - General Surgery 9234431768 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Specialty Associates PLLCGroup PAC ID 7618235995, 56 clinicians
Virginia Hospital Center Physician Group LLCGroup PAC ID 8426231119, 350 clinicians

Practice addresses (Care Compare)

1850 Town Ctr Pkwy
Reston, VA 20190-3204
Phone (703) 689-9000

1851 N George Mason Dr
Suite 4C
Arlington, VA 22207-1953
Phone (703) 717-4250

7101 Jahnke Rd
Richmond, VA 23225-4017
Phone (804) 483-0000

Hospital & facility affiliations

  • Reston Hospital Center Hospital, Reston, VA, CCN 490107

Merit-based Incentive Payment System (MIPS)

Final score
80.33 of 100Reported as group
Quality
74.39
Promoting interoperability
87
Improvement activities
40
Cost
70.89

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
274938NYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Specialty Associates PLLC Surgery CurrentSince Jul 1, 2021 Accepting new patients
Virginia Hospital Center Physician Group, LLC Current Accepting new patients
North Shore-Lij Medical PC CurrentSince Feb 1, 2018 Accepting new patients
Virginia Hospital Center Physician Group LLC CurrentSince Sep 3, 2024 Accepting new patients
North Shore - Lij Medical PC CurrentSince Feb 1, 2018 Accepting new patients
Virginia Hospital Center Physician Group, LLC CurrentSince Sep 3, 2024 Accepting new patients
Virginia Hospital Center Physician Group LLC Past Accepting new patients
North Shore Health System Medical Faculty Group Practice Inc Past Accepting new patients

Locations

13500 Powers Ct
Ste 230
Fort Myers, FL 33912
Phone (239) 610-0784

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

270 Park Ave
Fl 1
Huntington, NY 11743
Phone (631) 351-2219

755 New York Ave
Ste 108
Huntington, NY 11743
Phone (631) 427-6060

755 New York Ave
Huntington, NY 11743
Phone (516) 537-8112

270 Park Ave
Huntington, NY 11743
Phone (631) 351-2308

300 Community Dr
Plandome, NY 11030

972 Brush Hollow Rd
Westbury, NY 11590

1635 N George Mason Dr
Ste 430
Arlington, VA 22205
Phone (703) 528-3600

1851 N George Mason Dr
Ste 4C
Arlington, VA 22207
Phone (703) 717-4250

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

1850 Town Center Pkwy
Reston, VA 20190
Phone (703) 478-0922

7101 Jahnke Rd
Richmond, VA 23225
Phone (804) 323-1088

Interoperability endpoints

  • Direct secure messaging: shabanaperveen@nslijmedgr.allscriptsdirect.net

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1248134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467244800000",
    "number": "1003046285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 ARBOR LN",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117465101",
            "telephone_number": "405-248-8489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 NEW YORK AVE",
            "address_2": "SUITE 108",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117434240",
            "telephone_number": "631-470-1460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERVEEN",
        "first_name": "SHABANA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-21",
        "last_updated": "2016-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "274938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

Verify at the official NPI Registry.