Individual provider Active NPI

Towhid Hossain Shiblee, M.D.

  • Internal Medicine Physician
  • Jackson Heights, NY
National Provider Identifier
1033437827
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
256963 Issued in NY
Practice address
3730 73Rd St Ste PQ
Jackson Heights, NY 11372-6233
Phone
(718) 247-7340
NPI assigned
May 4, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 256963 NY Primary

Addresses

Primary practice location

3730 73Rd St Ste PQ
Jackson Heights, NY 11372-6233

Mailing address

3730 73Rd St Ste PQ
Jackson Heights, NY 11372-6233
Phone (718) 247-7340

Other practice location 1

3720 76th St
Jackson Heights, NY 11372-6549
Phone (718) 247-7340

Other identifiers 1

IdentifierTypeStateIssuer
03452802MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20120627000017 NY Practitioner - Internal Medicine 7113103755 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3730 73Rd St
Suite PQ
Jackson Heights, NY 11372-6233
Phone (718) 247-7340

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
256963NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vital Health Medical Associates PLLC CurrentSince Apr 30, 2020 Accepting new patients
MG Medical Services, P.C. Past Accepting new patients
Ab Cardiovascular Medicine PC PastSince Jan 28, 2024 Accepting new patients

Locations

3730 73rd St
Ste Pq
Jackson Heights, NY 11372
Phone (718) 247-7340

Networks

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

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1272931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1033437827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3730 73RD ST STE PQ",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113726233",
            "telephone_number": "718-247-7340",
            "fax_number": "718-532-9732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3730 73RD ST STE PQ",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113726233",
            "telephone_number": "718-247-7340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3720 76th St",
            "address_purpose": "LOCATION",
            "city": "Jackson Heights",
            "state": "NY",
            "postal_code": "113726549",
            "country_code": "US",
            "telephone_number": "718-247-7340",
            "fax_number": "718-532-9732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIBLEE",
        "first_name": "TOWHID",
        "middle_name": "HOSSAIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-04",
        "last_updated": "2022-07-21",
        "certification_date": "2020-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "256963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03452802",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

Verify at the official NPI Registry.