Active NPI
Romi Shah, M.D.
- Psychiatry Physician
- Middletown, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 309413
- Practice address
- 75 Crystal Run Rd Ste 135
Middletown, NY 10941-7009 - Phone
- (845) 333-7800
- NPI assigned
- Apr 25, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 309413 | NY | Primary |
Addresses
Primary practice location
75 Crystal Run Rd Ste 135
Middletown, NY 10941-7009
Mailing address
75 Crystal Run Rd Ste 135
Middletown, NY 10941-7009
Phone (845) 333-7800
Other practice location 1
707 E Main St
Middletown, NY 10940-2650
Phone (845) 333-2260
Other practice location 2
68 Harris Bushville Rd
Harris, NY 12742
Phone (845) 333-8909
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | shah69952@direct.garnethealth.org | Direct | Garnet Health Doctors PC |
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
- Psychiatry
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10 -24 Mitchell Ave
Binghamton, NY 13903-1617
Phone (607) 762-2468
16 Sumner PL
Brooklyn, NY 11206-4110
Phone 71895188002102
Hospital & facility affiliations
- United Health Services Hospitals, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.1 of 100
- Quality
- 61
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.76
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 309413 | NY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Health Services Hospitals, Inc. | Current | Accepting new patients | |
| Ahava Medical and Rehabilitation Center, LLC | Current | Accepting new patients | |
| United Health Services Hospitals, Inc. | Past | Accepting new patients | |
| United Health Services Hospitals, Inc. | Past | Accepting new patients |
Locations
33 Lewis Rd
Fl 2
Binghamton, NY 13905
Phone (607) 729-8156
10-42 Mitchell Ave
Binghamton, NY 13903
Phone (607) 762-2468
16 Sumner Pl
Brooklyn, NY 11206
Phone (718) 336-9500
2555 Nostrand Ave
Brooklyn, NY 11210
Phone 7189518800108
25 Carrier St
Liberty, NY 12754
Phone (718) 755-0332
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Interoperability endpoints
- https://epicproxy.et1127.epichosted.com/FHIRproxy/api/FHIR/R4/
- rshah69952@direct.garnethealth.org
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.
-
- Rehabilitation Practitioner
- Brooklyn, NY
- NPI 1184878274
-
- Multi-Specialty Clinic/Center
- Johnson City, NY
- NPI 1962463851
-
- General Acute Care Hospital
- Binghamton, NY
- NPI 1134151343
-
- General Acute Care Hospital
- Binghamton, NY
- NPI 1518998699
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Binghamton, NY
- NPI 1518998699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669334400000",
"number": "1083149363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 CRYSTAL RUN RD STE 135",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109417009",
"telephone_number": "845-333-7800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 CRYSTAL RUN RD STE 135",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109417009",
"telephone_number": "845-333-7800"
}
],
"practiceLocations": [
{
"address_1": "707 E Main St",
"address_purpose": "LOCATION",
"city": "Middletown",
"state": "NY",
"postal_code": "109402650",
"country_code": "US",
"telephone_number": "845-333-2260",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "68 Harris Bushville Rd",
"address_purpose": "LOCATION",
"city": "Harris",
"state": "NY",
"postal_code": "12742",
"country_code": "US",
"telephone_number": "845-333-8909",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAH",
"first_name": "ROMI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-25",
"last_updated": "2022-11-25",
"certification_date": "2022-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "309413",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "shah69952@direct.garnethealth.org",
"affiliation": "Y",
"affiliationName": "Garnet Health Doctors PC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "75 Crystal Run Rd Ste 135",
"city": "Middletown",
"state": "NY",
"country_code": "US",
"postal_code": "109417009",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Middletown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.