Individual provider Active NPI

Asim Shahid, M.D.

  • Internal Medicine Physician
  • Mount Vernon, NY
National Provider Identifier
1053733675
Registry record updated May 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
290971 Issued in NY
Practice address
105 Stevens Ave Ste 306
Mount Vernon, NY 10550-2680
Phone
(914) 863-0056
NPI assigned
Jan 16, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2021

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 290971 NY Primary

Addresses

Primary practice location

105 Stevens Ave Ste 306
Mount Vernon, NY 10550-2680

Mailing address

105 Stevens Ave Ste 306
Mount Vernon, NY 10550-2680
Phone (914) 863-0056

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
I20180329001290 NY Practitioner - Internal Medicine 6305108440 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Health Care Choices Ny Inc CurrentSince Nov 26, 2023 Accepting new patients
Lower Westchester Medical Associates, P.C. CurrentSince Feb 27, 2021 Accepting new patients
Montefiore Medical Center Internal Medicine CurrentSince Jan 28, 2018 Accepting new patients
Montefiore Medical Center CurrentSince Jan 28, 2018 Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

179 Jamaica Ave
Brooklyn, NY 11207
Phone (718) 906-3800

6209 16th Ave
Brooklyn, NY 11204
Phone (718) 234-0073

105 Stevens Ave
Ste 306
Mount Vernon, NY 10550
Phone (914) 664-3168

Networks

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

Organizations & group practices 4

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": "1389830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620345600000",
    "number": "1053733675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 STEVENS AVE STE 306",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105502680",
            "telephone_number": "914-863-0056",
            "fax_number": "914-863-0146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 STEVENS AVE STE 306",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105502680",
            "telephone_number": "914-863-0056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHID",
        "first_name": "ASIM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-16",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "290971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, NY

Sources for this page

Verify at the official NPI Registry.