NPIMap

Individual provider Active NPI

Nirav D Shah, MD

  • Cardiovascular Disease Physician
  • Newburgh, NY
National Provider Identifier
1023083607
Registry record updated Aug 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
2250351 Issued in NY
Practice address
5 Jeanne Dr Ste 7
Newburgh, NY 12550-1797
Phone
(845) 465-4400
NPI assigned
Feb 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 2250351 NY Primary

Addresses

Primary practice location

5 Jeanne Dr Ste 7
Newburgh, NY 12550-1797

Mailing address

243 North Rd Ste 304
Poughkeepsie, NY 12601-1173
Phone (845) 451-7251

Other identifiers 1

IdentifierTypeStateIssuer
02735739MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060330000375 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Interventional Cardiology 3870501901 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Medical Group of the Hudson Valley PCGroup PAC ID 3072575109, 134 clinicians

Practice addresses (Care Compare)

243 N Rd
Poughkeepsie, NY 12601-1173

955 Little Britain Rd
New Windsor, NY 12553-7354
Phone (845) 437-5000

Hospital & facility affiliations

  • Montefiore St Luke'S Cornwall Hospital, Newburgh, NY, CCN 330264
  • Garnet Health Medical Center Hospital, Middletown, NY, CCN 330126
  • Vassar Brothers Medical Center Hospital, Poughkeepsie, NY, CCN 330023
  • Westchester Medical Center Hospital, Valhalla, NY, CCN 330234

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22336OKMDClinical Social Worker
2250351NYMDCardiovascular Disease Physician

Practice roles (6 of 10)

OrganizationSpecialtyStatusNew patients
Premier Medical Group of the Hudson Valley, P.C. CurrentSince May 1, 2019 Accepting new patients
Premier Medical Group of the Hudson Valley P.C. CurrentSince May 1, 2019 Accepting new patients
Nuclear Cardiac and Medical Imaging Services, PC Cardiovascular Disease Past Accepting new patients
Rockland Nuclear Spect Imaging, P.C. Cardiovascular Disease Past Accepting new patients
Brooklyn Nuclear Spect Imaging, PC Cardiovascular Disease Past Accepting new patients
Comprehensive Blood &Cancer Medical Care,PC Past Accepting new patients

Locations

5 Jeanne Dr
Ste 7
Newburgh, NY 12550
Phone (845) 465-4400

243 North Rd
Ste 304
Poughkeepsie, NY 12601
Phone (845) 451-7251

243 North Rd
Ste 201S
Poughkeepsie, NY 12601
Phone (845) 473-5550

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: nshah@premiermedicalhv.medentdirect.com

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 5

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": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566950400000",
    "number": "1023083607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 NORTH RD STE 304",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011173",
            "telephone_number": "845-451-7251",
            "fax_number": "845-471-7372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 JEANNE DR STE 7",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125501797",
            "telephone_number": "845-465-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "NIRAV",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2019-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "2250351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02735739",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, NY

Sources for this page

Verify at the official NPI Registry.