Individual provider Active NPI

Ummara H Shah, MD

  • Internal Medicine Physician
  • Rochester, NY
National Provider Identifier
1114194164
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
260067 Issued in NY
Practice address
601 Elmwood Ave
Box 695
Rochester, NY 14642-0001
Phone
(585) 275-1643
Fax
(585) 442-3214
NPI assigned
May 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 260067 NY
Internal Medicine Physician 207R00000X 260067 NY Primary

Addresses

Primary practice location

601 Elmwood Ave
Box 695
Rochester, NY 14642-0001

Mailing address

601 Elmwood Ave
Box 695
Rochester, NY 14642-0001
Phone (585) 275-1643

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ushah95007@direct.urmc.rochester.edu Direct
Direct Messaging Address ushah95007@direct.urmc.rochester.edu Direct

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
I20110816000017 NY Practitioner - Rheumatology 1052580669 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allergy - Immunology - Rheumatology Clinical GroupGroup PAC ID 8820074065, 27 clinicians
University of RochesterGroup PAC ID 5799699088, 960 clinicians

Practice addresses (Care Compare)

400 Red Creek Dr
Rochester, NY 14623-4281
Phone (585) 486-0901

400 Red Creek Dr
Suite 110
Rochester, NY 14623-4273
Phone (585) 486-0930

601 Elmwood Ave
Rochester, NY 14642-0001

601 Elmwood Ave
Rochester, NY 14642-0002
Phone (585) 275-2100

Hospital & facility affiliations

  • Strong Memorial Hospital Hospital, Rochester, NY, CCN 330285
  • Nicholas H Noyes Memorial Hospital Hospital, Dansville, NY, CCN 330238

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
260067NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiac Surgery of the University of Rochester Current Accepting new patients
Allergy - Immunology - Rheumatology Clinical Group Rheumatology CurrentSince Jul 15, 2014 Accepting new patients
University of Rochester Internal Medicine CurrentSince Mar 1, 2016 Accepting new patients
University of Rochester CurrentSince Mar 1, 2016 Accepting new patients
University of Rochester Internal Medicine Current Accepting new patients
Acute Care Trauma of the University of Rochester Current Accepting new patients

Locations

125 Lattimore Rd
Ste G110
Rochester, NY 14620
Phone (585) 275-2691

601 Elmwood Ave
#695
Rochester, NY 14642
Phone (585) 273-4670

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

400 Red Creek Dr
Ste 110
Rochester, NY 14623
Phone (585) 486-0147

Interoperability endpoints

  • Direct secure messaging: ushah95007@direct.urmc.rochester.edu

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 3

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": "1210291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682640000000",
    "number": "1114194164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE",
            "address_2": "BOX 695",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-275-1643",
            "fax_number": "585-442-3214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE",
            "address_2": "BOX 695",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-275-1643",
            "fax_number": "585-442-3214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "UMMARA",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-09",
        "last_updated": "2023-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NY",
            "license": "260067",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "260067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ushah95007@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ushah95007@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.