Individual provider Active NPI

Vikas Shetty, M.D.

  • Neurology Physician
  • Manhasset, NY
National Provider Identifier
1164953717
Registry record updated Jul 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
310422 Issued in NY
Practice address
300 Community Dr
Manhasset, NY 11030-3816
Phone
(516) 562-0100
NPI assigned
Mar 24, 2017
Last updated
Jul 23, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 310422 NY Primary
Epilepsy Physician 2084E0001X 310422 NY

Addresses

Primary practice location

300 Community Dr
Manhasset, NY 11030-3816

Mailing address

300 Community Dr
Manhasset, NY 11030-3816

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220707002657 NY Practitioner - Neurology 6709123243 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Howard University College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Complete Neurological Care PCGroup PAC ID 9537320593, 14 clinicians
SJ All Medical PCGroup PAC ID 9830412642, 10 clinicians
Premier Healthcare IncGroup PAC ID 1254233158, 58 clinicians

Practice addresses (Care Compare)

112 47 Queens Boulevard
Suite 206
Forest Hills, NY 11375-7421
Phone (718) 544-4200

125 N Central Ave
Suite a
Valley Stream, NY 11580-3822
Phone (516) 887-8808

227 E 41St St
FL 8
New York, NY 10017-6927
Phone (212) 273-6521

Merit-based Incentive Payment System (MIPS)

Final score
86.46 of 100Reported as group
Quality
57.32
Promoting interoperability
84
Improvement activities
40
Cost
80.25

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
310422NYMDEpilepsy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Young Adult Institute, Inc. CurrentSince Nov 18, 2024 Accepting new patients
Neurological Specialties of Long Island, PLLC CurrentSince Jul 1, 2022 Accepting new patients
SJ All Medical PC CurrentSince Mar 21, 2025 Accepting new patients
Premier Healthcare, Inc. CurrentSince Nov 18, 2024 Accepting new patients
Premier Healthcare, Inc. CurrentSince Nov 18, 2024 Accepting new patients
Nassau Health Care Corporation Current Accepting new patients
Complete Neurological Care PC Neurology CurrentSince Jan 15, 2025 Accepting new patients

Locations

21111 Northern Blvd
Bayside, NY 11361
Phone (212) 563-7474

21111 Northern Blvd
#13292
Bayside, NY 11361
Phone (718) 705-1000

21111 Northern Blvd
Ste 2
Bayside, NY 11361

3060 E Tremont Ave
#2
Bronx, NY 10461

175 Remsen St
Fl 4
Brooklyn, NY 11201
Phone (212) 273-6182

2201 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 486-6862

2201 Hempstead Tpke
Rm 2448
East Meadow, NY 11554
Phone (516) 572-1234

11247 Queens Blvd
Ste 206
Forest Hills, NY 11375
Phone (718) 268-1750

170 Great Neck Rd
Great Neck, NY 11021
Phone (516) 487-4464

225 Broadway
Ste 705
New York, NY 10007
Phone (212) 349-2787

460 W 34th St
Fl 9
New York, NY 10001
Phone (212) 273-6515

125 N Central Ave
Ste A
Valley Stream, NY 11580
Phone (516) 887-8808

139 N Central Ave
Ste 2
Valley Stream, NY 11580
Phone (516) 887-8808

Networks

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

Interoperability endpoints

  • Direct secure messaging: vikas.shetty.p1@direct.premierhealthcare.nextgenshare.com
  • Direct secure messaging: vshetty3584029@nychhc.direct-ci.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1490313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658534400000",
    "number": "1164953717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 COMMUNITY DR",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 COMMUNITY DR",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303816",
            "telephone_number": "516-562-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHETTY",
        "first_name": "VIKAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-24",
        "last_updated": "2022-07-23",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "310422",
            "primary": true
        },
        {
            "code": "2084E0001X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Epilepsy",
            "state": "NY",
            "license": "310422",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhasset, NY

Sources for this page

Verify at the official NPI Registry.