NPIMap

Individual provider Active NPI

Ankur Raju Shah, M.D.

  • Interventional Cardiology Physician
  • Ozone Park, NY
National Provider Identifier
1144411745
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
258269 Issued in NY
Practice address
10012 101St Ave
Ozone Park, NY 11416-2609
Phone
(412) 491-7611
Fax
(917) 300-2785
NPI assigned
Aug 7, 2007
Last updated
Jul 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD427573 PA
Internal Medicine Physician 207R00000X 258269 NY
Cardiovascular Disease Physician 207RC0000X 258269 NY
Interventional Cardiology Physician 207RI0011X 258269 NY Primary

Addresses

Primary practice location

10012 101St Ave
Ozone Park, NY 11416-2609

Mailing address

306 Gold St
Apt 24C
Brooklyn, NY 11201-3038
Phone (412) 491-7611

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
I20121002000646 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Interventional Cardiology 1052560398 Reassigns benefits to 10 organizations
Practice locations: Brooklyn, NY; New York, NY; Ozone Park, NY

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians
Complete Heart and Vascular Care PCGroup PAC ID 5597166124, 2 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

2051 Flatbush Ave
Brooklyn, NY 11234-3523
Phone (917) 300-2728

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting26
Varicose vein removal142
Leg revascularization (restoring blood flow)80

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD427573PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
B & L Health Inc CurrentSince Sep 1, 2025 Accepting new patients
North Shore-Lij Medical PC Internal Medicine CurrentSince Mar 1, 2015 Accepting new patients
New York University Internal Medicine CurrentSince Mar 1, 2013 Accepting new patients
Brooklyn Comprehensive Care Center Inc. Internal Medicine CurrentSince Sep 22, 2014 Accepting new patients
New York University Internal Medicine CurrentSince Mar 1, 2013 Accepting new patients
Brownsville Community Development Corporation CurrentSince Aug 1, 2020 Accepting new patients
Brownsville Community Development Corporation CurrentSince Aug 1, 2020 Accepting new patients
Complete Heart and Vascular Care PC Cardiovascular Disease CurrentSince Jun 1, 2021 Accepting new patients
Hemant Patel MD PC Internal Medicine CurrentSince Jul 1, 2020 Accepting new patients
North Shore - Lij Medical PC Internal Medicine CurrentSince Mar 1, 2015 Accepting new patients
Sharad Soni Physician P.C. Internal Medicine PastSince Mar 28, 2021 Accepting new patients
The Brookdale Hospital Medical Center Past Accepting new patients
The New York and Presbyterian Hospital Past Accepting new patients

Locations

1100 Coney Island Ave
Ste 2
Brooklyn, NY 11230
Phone (718) 434-2100

1655 E 13th St
Brooklyn, NY 11229
Phone (718) 339-3100

2051 Flatbush Ave
Brooklyn, NY 11234
Phone (718) 677-1000

259 Bristol St
Fl 3
Brooklyn, NY 11212
Phone (718) 342-0060

2814 Clarendon Rd
Brooklyn, NY 11226
Phone (718) 469-7363

592 Rockaway Ave
Brooklyn, NY 11212
Phone (718) 345-5000

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

300 Community Dr
Manhasset, NY 11030

100 E 77th St
#2
New York, NY 10075
Phone (212) 434-2460

139 Centre St
Ste 801
New York, NY 10013
Phone (412) 491-7611

10012 101st Ave
Ozone Park, NY 11416
Phone (412) 491-7611

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

9426 Lefferts Blvd
South Richmond Hl, NY 11419
Phone (516) 477-0511

Networks

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

Interoperability endpoints

  • Direct secure messaging: ankur.shah.1@13126.direct.athenahealth.com
  • Direct secure messaging: ars9075@direct.nyp.org
  • Direct secure messaging: ashah61861@nyumc.direct-ci.com
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/BJEBCD

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 15

Hospital & facility affiliations 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1144411745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 GOLD ST",
            "address_2": "APT 24C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112013038",
            "telephone_number": "412-491-7611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10012 101ST AVE",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114162609",
            "telephone_number": "412-491-7611",
            "fax_number": "917-300-2785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "ANKUR",
        "middle_name": "RAJU",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-07",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD427573",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "258269",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "258269",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NY",
            "license": "258269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ozone Park, NY

Sources for this page

Verify at the official NPI Registry.