Shaden Alfallay
Individual provider Active NPI Internal Medicine Physician · Jamestown, NY
NPI 1114389293 · NPPES record last updated Jan 25, 2024
Key facts
- NPI
- 1114389293
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 301020 (NY)
- Practice address
- 15 S Main St
Suite 150 Internal Medicine
Jamestown, NY 14701-6626 - Phone
- (716) 484-8610
- NPI assigned
- Mar 28, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Great Lakes Physician Practice PC
Practice addresses (Care Compare)
15 S Main St
Suite 150
Jamestown, NY 14701-6627
Phone (814) 484-8610
Hospital & facility affiliations
- Vna of Western Ny Chha
- Willcare Chha (Buffalo)
- Chautauqua Hospice and Palliative Care
- Upmc Chautauqua at Wca
- Warren General Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191217002495 | NY | Practitioner - Internal Medicine | 8729326293 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 301020 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Qpharma Inc | Current |
Accepting new patients | |
| Great Lakes Physician Practice PC | Internal Medicine | Current |
Accepting new patients |
| Jamestown Area Medical Associates, L.L.P. | Internal Medicine | Current |
Accepting new patients |
Locations
15 S Main St
Ste 150
Jamestown, NY 14701
Phone (716) 483-6700
31 Sherman St
Ste 2400
Jamestown, NY 14701
Phone (814) 483-5306
15 S Main St
Jamestown, NY 14701
Phone (607) 846-2030
2 Hot Metal St
Pittsburgh, PA 15203
Phone (412) 235-5300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 301020 | NY | Yes |
Addresses
Primary practice location
15 S Main St
Suite 150 Internal Medicine
Jamestown, NY 14701-6626
Mailing address
194 E 2ND St
4D
New York, NY 10009-7717
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | shaden.i.alfallay@upmcdirect.com | UPMC |
Other providers in Jamestown, NY
- Jared Scott Aiken
- Lindsey Aiken
- Junaid Akhter
- Jaydene Albert
- Colleen B Aldrich
- Allegany Ophthalmology PLLC
- Jeffrey W Allen
- Nancy A Allen
- Alliance for Nonprofit Resources, Inc.
- Allied Orthopedic Appliances Inc
All providers in Jamestown, NY · Internal Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.