Individual provider Active NPI

Ebrahim Shahim, M.D.

  • Obstetrics & Gynecology Physician
  • New York, NY
National Provider Identifier
1083659858
Registry record updated Mar 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
215831 Issued in NY
Practice address
993 Park Ave
New York, NY 10028-0809
Phone
(212) 744-6700
NPI assigned
Jun 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 215831 NY Primary

Addresses

Primary practice location

993 Park Ave
New York, NY 10028-0809

Mailing address

993 Park Ave
New York, NY 10028-0809
Phone (212) 744-6700

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
I20040316000681 NY Practitioner - Obstetrics/Gynecology 7911897814 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1998
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Western Manhattan Womens Health, an OB/GYN P.C.Group PAC ID 8022166149, 2 clinicians
Womens Health of Manhattan OBGYN PLLCGroup PAC ID 0446500359, 2 clinicians

Practice addresses (Care Compare)

21 Murray St
New York, NY 10007-2239
Phone (646) 701-0021

40 Pinehurst Ave
Suite CFB
New York, NY 10033-5529
Phone (212) 923-8550

55 E 87TH St
Suite 1K
New York, NY 10128-1049
Phone (212) 744-9300

993 Park Ave
New York, NY 10028-0921
Phone (212) 744-6700

Hospital & facility affiliations

  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
215831NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emusc, LLC CurrentSince Jan 17, 2018 Accepting new patients
Women'S Health of Manhattan OBGYN PLLC Obstetrics & Gynecology CurrentSince Jun 7, 2018 Accepting new patients
LHHN Medical, P.C. Family Medicine Past Accepting new patients

Locations

8340 Woodhaven Blvd
Glendale, NY 11385
Phone (718) 441-0101

55 E 87th St
Ste 1K
New York, NY 10128
Phone (212) 289-1731

Networks

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

Interoperability endpoints

  • Direct secure messaging: eshahim67381@northwell.direct-ci.com

Organizations & group practices 6

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 7

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": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457395200000",
    "number": "1083659858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "993 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280809",
            "telephone_number": "212-744-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "993 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280809",
            "telephone_number": "212-744-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHIM",
        "first_name": "EBRAHIM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-17",
        "last_updated": "2016-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "215831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.