Individual provider Active NPI

Rashad Kareem Shelton, DPM

  • Foot & Ankle Surgery Podiatrist
  • Peekskill, NY
National Provider Identifier
1184019507
Registry record updated Nov 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
N006930-1 Issued in NY
Practice address
2 Stowe Rd Ste 6
Peekskill, NY 10566-2582
Phone
(914) 737-5416
Fax
(914) 737-5935
NPI assigned
Apr 2, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Foot & Ankle Surgery Podiatrist 213ES0103X N006930-1 NY Primary

Addresses

Primary practice location

2 Stowe Rd Ste 6
Peekskill, NY 10566-2582

Mailing address

2 Stowe Rd Ste 6
Peekskill, NY 10566-2582
Phone (914) 737-5416

Other practice location 1

1250 Waters Pl
11th Floor
Bronx, NY 10461-2720
Phone (347) 577-4410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180815003036 NY Practitioner - Podiatry 7517216161 Practice locations: Peekskill, NY
O20191125002685 NY DME Supplier - Physician - Podiatry 5698108017 Practice locations: Peekskill, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2 Stowe Rd
Suite 6
Peekskill, NY 10566-2582
Phone (914) 737-5416

Hospital & facility affiliations

  • Hudson Valley Hospital Center Hospital, Cortlandt Manor, NY, CCN 330267

Merit-based Incentive Payment System (MIPS)

Final score
83.2 of 100Reported as individual
Quality
48.36
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue180
Removal or shaving of skin growth92

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N006930-1NYMDFoot & Ankle Surgery Podiatrist
006930NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center Past Accepting new patients

Organizations & group practices 1

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 1

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": "1427932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574294400000",
    "number": "1184019507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 STOWE RD STE 6",
            "city": "PEEKSKILL",
            "state": "NY",
            "postal_code": "105662582",
            "telephone_number": "914-737-5416",
            "fax_number": "914-737-5935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 STOWE RD STE 6",
            "city": "PEEKSKILL",
            "state": "NY",
            "postal_code": "105662582",
            "telephone_number": "914-737-5416",
            "fax_number": "914-737-5935"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 Waters Pl",
            "address_2": "11th Floor",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104612720",
            "country_code": "US",
            "telephone_number": "347-577-4410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "RASHAD",
        "middle_name": "KAREEM",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-02",
        "last_updated": "2019-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N006930-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peekskill, NY

Sources for this page

Verify at the official NPI Registry.