Active NPI
Syed Muhammad Ali Shah
- Student in an Organized Health Care Education/Training Program
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 1 Brookdale PLZ
Brooklyn, NY 11212-3139 - Phone
- (718) 613-4000
- NPI assigned
- Oct 19, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD490270 | PA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
1 Brookdale PLZ
Brooklyn, NY 11212-3139
Mailing address
1 Brookdale PLZ
Brooklyn, NY 11212-3139
Phone (718) 613-4000
Other practice location 1
380 N Oxford Valley Rd
Langhorne, PA 19047-8304
Phone (215) 949-5000
Other practice location 2
4900 Frankford Ave
Philadelphia, PA 19124-2618
Phone (215) 831-2000
Other practice location 3
10800 Knights Rd
Philadelphia, PA 19114-4299
Phone (215) 612-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10800 Knights Rd
Philadelphia, PA 19114-4200
Phone (215) 612-4000
Hospital & facility affiliations
- Jefferson Health- Northeast
- Thomas Jefferson University Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD490270 | PA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aria Health Physician Services | Current | Accepting new patients | |
| Aria Health Physicain Services | Current | Accepting new patients | |
| Aria Health Physician Services | Current | Accepting new patients | |
| Jefferson Health - Northeast | Past | Accepting new patients | |
| Jefferson Health - Northeast | Past | Accepting new patients |
Locations
380 N Oxford Valley Rd
Langhorne, PA 19047
Phone (215) 949-5000
1101 Market St
Fl 19
Philadelphia, PA 19107
Phone (215) 481-6836
10800 Knights Rd
Philadelphia, PA 19114
Phone (215) 612-2610
4900 Frankford Ave
Philadelphia, PA 19124
Phone (215) 612-2610
3998 Red Lion Rd
Philadelphia, PA 19114
Phone (215) 612-4060
Interoperability endpoints
- https://fhir.jefferson.edu/FHIRProxy/HOME/api/FHIR/R4
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Richboro, PA
- NPI 1750949806
-
- Critical Care Medicine (Anesthesiology) Physician
- Philadelphia, PA
- NPI 1649789587
-
- Family Medicine Physician
- Philadelphia, PA
- NPI 1053181297
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1114095791
-
- General Acute Care Hospital
- Langhorne, PA
- NPI 1205904885
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1801963343
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1215916002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750377600000",
"number": "1164148276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 BROOKDALE PLZ",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112123139",
"telephone_number": "718-613-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BROOKDALE PLZ",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112123139",
"telephone_number": "718-613-4000"
}
],
"practiceLocations": [
{
"address_1": "380 N Oxford Valley Rd",
"address_purpose": "LOCATION",
"city": "Langhorne",
"state": "PA",
"postal_code": "190478304",
"country_code": "US",
"telephone_number": "215-949-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4900 Frankford Ave",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191242618",
"country_code": "US",
"telephone_number": "215-831-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10800 Knights Rd",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191144299",
"country_code": "US",
"telephone_number": "215-612-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAH",
"first_name": "SYED MUHAMMAD ALI",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-10-19",
"last_updated": "2025-06-20",
"certification_date": "2025-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD490270",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; 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.