Active NPI
Shabana Perveen, M.D.
- Surgery Physician
- Huntington, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 274938
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.33 of 100
- Quality
- 74.39
- Promoting interoperability
- 87
- Improvement activities
- 40
- Cost
- 70.89
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 274938 | NY | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urgent Specialty Associates PLLC | Surgery | Current | Accepting new patients |
| Virginia Hospital Center Physician Group, LLC | Current | Accepting new patients | |
| North Shore-Lij Medical PC | Current | Accepting new patients | |
| Virginia Hospital Center Physician Group LLC | Current | Accepting new patients | |
| North Shore - Lij Medical PC | Current | Accepting new patients | |
| Virginia Hospital Center Physician Group, LLC | Current | 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
- 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.
-
- Maternal & Fetal Medicine Physician
- Arlington, VA
- NPI 1144415480
DC
-
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
- Internal Medicine Physician
- New Hyde Park, NY
- NPI 1790043479
-
- Neurology Physician
- Arlington, VA
- NPI 1245010479
-
- Urology Physician
- Arlington, VA
- NPI 1639511504
-
- Hematology & Oncology Physician
- New Hyde Park, NY
- NPI 1003409061
-
- Podiatrist
- Alexandria, VA
- NPI 1003228917
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Reston, VA
- NPI 1053363853
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.