Individual provider Active NPI

Sholeh Kamalian, MD

  • Internal Medicine Physician
  • Meriden, CT
National Provider Identifier
1114952116
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
253860 Issued in MA
Practice address
435 Lewis Ave
Midstate Medical Center
Meriden, CT 06451
Phone
(203) 284-1340
Fax
(203) 265-4557
NPI assigned
Jul 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA09017400 NJ
Internal Medicine Physician 207R00000X 043872 CT
Hospitalist Physician 208M00000X 043872 CT
Hospitalist Physician 208M00000X 265590 NY
Internal Medicine Physician 207R00000X 253860 MA Primary

Addresses

Primary practice location

435 Lewis Ave
Midstate Medical Center
Meriden, CT 06451

Mailing address

PO Box 415348
Boston, MA 02241-5348
Phone (800) 225-8885

Other practice location 1

157 Union St
Marlborough, MA 01752-1228
Phone (508) 486-5678

Other practice location 2

55 Lake Ave N
Worcester, MA 01655-0002
Phone (508) 334-8515

Other practice location 3

119 Belmont St
Worcester, MA 01605-2903
Phone (508) 334-6556

Other practice location 4

85 Herrick St
Beverly, MA 01915-1790
Phone (978) 922-3000

Other identifiers 3

IdentifierTypeStateIssuer
043872OtherCTCONNECTICARE
2V6574OtherCTHEALTHNET
010043872CT01OtherCTBC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY, MA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20120123000639 NJ Practitioner - Internal Medicine 5193732212 Reassigns benefits to 2 organizations
I20130116000323 NY Practitioner - Internal Medicine 5193732212 Reassigns benefits to 5 organizations
I20150601000554 MA Practitioner - HospitalistPractitioner - Internal Medicine 5193732212 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Umass Memorial Medical Group IncGroup PAC ID 4284539891, 2,494 clinicians
Lahey Clinic IncGroup PAC ID 2264336528, 1,381 clinicians

Practice addresses (Care Compare)

119 Belmont St
Worcester, MA 01605-2903
Phone (508) 334-1000

15 Railroad Ave
South Hamilton, MA 01982-2218
Phone (978) 468-7381

29 Mall Rd
Burlington, MA 01805-0001

41 Mall Rd
Burlington, MA 01805-0001
Phone (781) 744-8771

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
043872CTMDInternal Medicine Physician
25MA09017400NJMDInternal Medicine Physician
265590NYMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cogent Medical Care PC Internal Medicine CurrentSince Nov 2, 2017 Accepting new patients
Hospitalist Medicine Physicians of New York, PLLC CurrentSince Aug 1, 2022 Accepting new patients
New York Medical Physician Associates PC Hospitalist CurrentSince Aug 1, 2024 Accepting new patients
New York Queens Medicine and Surgery, P.C. CurrentSince Jul 6, 2012 Accepting new patients
Beth Israel Lahey Health Primary Care Inc CurrentSince Sep 1, 2025 Accepting new patients
Beth Israel Lahey Health Primary Care, Inc. Internal Medicine CurrentSince Sep 1, 2025 Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Jun 11, 2013 Accepting new patients
Optum Medical Care of New Jersey PC Internal Medicine CurrentSince May 1, 2019 Accepting new patients
Umass Memorial Medical Group Inc Internal Medicine CurrentSince Dec 6, 2021 Accepting new patients
Guthrie Medical Group, P.C. Internal Medicine CurrentSince Jun 11, 2013 Accepting new patients
Steward Medical Group, Inc CurrentSince Oct 1, 2019 Accepting new patients
Lahey Clinic, Inc Internal Medicine Current Accepting new patients
Optum Medical Care of New Jersey PC CurrentSince May 1, 2019 Accepting new patients
Passaic Hospitalist Services, LLC Hospitalist CurrentSince Oct 1, 2023 Accepting new patients
New York Queens Medicine and Surgery, P.C. CurrentSince Jul 6, 2012 Accepting new patients
Umass Memorial Medical Group, Inc. CurrentSince Dec 6, 2021 Accepting new patients
Steward Medical Group, Inc CurrentSince Oct 1, 2019 Accepting new patients
New York Medical Physician Associates PC Internal Medicine CurrentSince Aug 1, 2024 Accepting new patients
Midstate Medical Center Past Accepting new patients
Northeast Hospital Corporation Past Accepting new patients
Umass Memorial Medical Center, Inc. Past Accepting new patients
Good Samaritan Hospital of Suffern Past Accepting new patients
Riverside Medical Group Past Accepting new patients
A.G. Dikengil, MD, PA Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

85 Herrick St
Beverly, MA 01915
Phone (978) 816-3700

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

2100 Dorchester Ave
#2214
Dorchester Center, MA 02124
Phone (617) 506-2840

100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157

157 Union St
Marlborough, MA 01752
Phone (508) 481-5000

81 Highland Ave
Salem, MA 01970
Phone (978) 354-4009

15 Railroad Ave
South Hamilton, MA 01982
Phone (978) 468-7381

88 Washington St
Taunton, MA 02780
Phone (508) 828-7000

119 Belmont St
Worcester, MA 01605
Phone (508) 334-6345

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

935 River Rd
Ste 301
Edgewater, NJ 07020
Phone (201) 471-7012

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

3403 S Delsea Dr
Vineland, NJ 08360
Phone (856) 293-6974

169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111

130 Center Way
Corning, NY 14830
Phone (607) 936-9971

16303 Horace Harding Expy
Fl 2
Fresh Meadows, NY 11365
Phone (718) 888-9121

160 N Midland Ave
Nyack, NY 10960
Phone (845) 348-2000

101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100

160 E Main St
Port Jervis, NY 12771
Phone (845) 856-7000

241 North Rd
Poughkeepsie, NY 12601
Phone (845) 431-8889

255 Lafayette Ave
Suffern, NY 10901
Phone (845) 357-7830

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10729/brand/1/csg/1/fhir/r4

Organizations & group practices 24

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.

View all 24

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1114952116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 415348",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022415348",
            "telephone_number": "800-225-8885",
            "fax_number": "508-334-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 LEWIS AVE",
            "address_2": "MIDSTATE MEDICAL CENTER",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "06451",
            "telephone_number": "203-284-1340",
            "fax_number": "203-265-4557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "157 Union St",
            "address_purpose": "LOCATION",
            "city": "Marlborough",
            "state": "MA",
            "postal_code": "017521228",
            "country_code": "US",
            "telephone_number": "508-486-5678",
            "fax_number": "508-486-5677",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 Lake Ave N",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016550002",
            "country_code": "US",
            "telephone_number": "508-334-8515",
            "fax_number": "508-334-6490",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "119 Belmont St",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016052903",
            "country_code": "US",
            "telephone_number": "508-334-6556",
            "fax_number": "508-334-8105",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "85 Herrick St",
            "address_purpose": "LOCATION",
            "city": "Beverly",
            "state": "MA",
            "postal_code": "019151790",
            "country_code": "US",
            "telephone_number": "978-922-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAMALIAN",
        "first_name": "SHOLEH",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA09017400",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "043872",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CT",
            "license": "043872",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "265590",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "253860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "043872",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "2V6574",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "010043872CT01",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meriden, CT

Sources for this page

Verify at the official NPI Registry.