NPIMap

Individual provider Active NPI

Shubha Shastry, MD, PHD

  • Nephrology Physician
  • Rochester, NY
National Provider Identifier
1124387048
Registry record updated Jan 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
267196 Issued in NY
Practice address
370 E Ridge Rd
Rochester, NY 14621-1240
Phone
(585) 922-0400
NPI assigned
May 12, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 267196 NY Primary

Addresses

Primary practice location

370 E Ridge Rd
Rochester, NY 14621-1240

Mailing address

370 E Ridge Rd
Suite 20
Rochester, NY 14621-1240

Other identifiers 2

IdentifierTypeStateIssuer
03725091MedicaidNY
01131126/RGHMedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131017000552 NY Practitioner - Nephrology 2062646466 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rochester General HospitalGroup PAC ID 0244149474, 1,192 clinicians
Western New York Medical Practice PCGroup PAC ID 3870767791, 528 clinicians

Practice addresses (Care Compare)

1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 922-4000

1425 Portland Ave
Rochester, NY 14621-3011
Phone (585) 922-4000

370 E Ridge Rd
Rochester, NY 14621-1240
Phone (585) 922-0600

Hospital & facility affiliations

  • DaVita Seaway Dialysis Dialysis facility, Rochester, NY, CCN 332759
  • Rochester General Hospital Dialysis Center Dialysis facility, Rochester, NY, CCN 333554
  • FMS-Living Center Dialysis facility, Fairport, NY, CCN 332630
  • FMS-Eastview Dialysis facility, Victor, NY, CCN 332585
  • Rochester General Hospital Hospital, Rochester, NY, CCN 330125
  • Clifton Springs Hospital and Clinic Hospital, Clifton Springs, NY, CCN 330265

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Medical Practice P.C. CurrentSince Apr 1, 2014 Accepting new patients
Rochester General Hospital CurrentSince Oct 14, 2013 Accepting new patients
Rochester General Hospital Current Accepting new patients
Rochester General Hospital Past Accepting new patients

Locations

370 E Ridge Rd
Ste 20
Rochester, NY 14621
Phone (585) 922-0400

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

370 E Ridge Rd
Rochester, NY 14621
Phone (585) 922-0400

Interoperability endpoints

  • Direct secure messaging: sshastry127519@direct.rochesterregional.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.

Hospital & facility affiliations 4

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": "1336780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389052800000",
    "number": "1124387048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 E RIDGE RD",
            "address_2": "SUITE 20",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146211240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 E RIDGE RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146211240",
            "telephone_number": "585-922-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHASTRY",
        "first_name": "SHUBHA",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-12",
        "last_updated": "2014-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "267196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03725091",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01131126/RGH",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.