Shumail Haque, D.O.

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

276227 Issued in NY

Practice address

100 Jerusalem Ave
Levittown, NY 11756-3718

Phone

(516) 513-0836

Fax

(516) 342-1452

NPI assigned

Jul 2, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Physical Medicine and Rehabilitation

Education

New York College of Osteo Medicine of New York Institute of Technology, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Shariyar Hadi DO PCGroup PAC ID 9638219371, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

22.11 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

73.72

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Networks

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

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.

• Shariyar Hadi DO PC

  • Family Medicine Physician
  • Brooklyn, NY
  • NPI 1619206380
  Medicare reassignment Care Compare group NPD
• Rehan Malik, MD P.C.

  • Addiction Psychiatry Physician
  • Edison, NJ
  • NPI 1770914665
  NPD (past)

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

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466726400000",
    "number": "1144636754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 JERUSALEM AVE",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117563718",
            "telephone_number": "516-513-0836",
            "fax_number": "516-342-1452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 JERUSALEM AVE",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117563718",
            "telephone_number": "516-513-0836",
            "fax_number": "516-342-1452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAQUE",
        "first_name": "SHUMAIL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-02",
        "last_updated": "2016-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NY",
            "license": "276227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04307773",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mohammed Abdul-Aleem Hadi, D.O.
• Shariyar Shahana Hadi, D.O.
• Jill Virginia Hanley, LPN
• Christopher Vincent Hansen
• Lauren Hansen, MD
• Dorothy Harrington, MSED
• Kelly Hart
• Hoory Harutiunian
• Nancy Hazelton
• Robert T. Hazelton

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Levittown, NY
• Providers in Levittown, NY by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.