Active NPI
Towhid Hossain Shiblee, M.D.
- Internal Medicine Physician
- Jackson Heights, NY
National Provider Identifier
1033437827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 256963
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03452802 | Medicaid | NY |
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
Enrollment records 1
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 256963 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vital Health Medical Associates PLLC | Current | Accepting new patients | |
| MG Medical Services, P.C. | Past | Accepting new patients | |
| Ab Cardiovascular Medicine PC | Past | 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.
-
- Cardiovascular Disease Physician
- Jackson Heights, NY
- NPI 1548651003
-
- Cardiovascular Disease Physician
- Brooklyn, NY
- NPI 1275395139
-
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- Woodbury, NY
- NPI 1528511318
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.