Active NPI
Shawn Karls, M.D.
- Nuclear Radiology Physician
- New York, NY
National Provider Identifier
1194253880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Radiology Physician
- License
- 293539
- Practice address
- 560 1St Ave FL 2
New York, NY 10016 - Phone
- (617) 959-5709
- NPI assigned
- May 25, 2017
- Reactivated
- Jan 12, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | 270455 | MA | |
| Nuclear Radiology Physician | 2085N0904X | 293539 | NY | Primary |
Addresses
Primary practice location
560 1St Ave FL 2
New York, NY 10016
Mailing address
560 1St Ave FL 2
New York, NY 10016-6402
Phone (617) 959-5709
Other practice location 1
44 Binney Street
Department of Nuclear Medicine, Dana Building, L2
Boston, MA 02115
Phone (617) 959-5709
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 270455 | MA | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528243200000",
"number": "1194253880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "560 1ST AVE FL 2",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100166402",
"telephone_number": "617-959-5709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 1ST AVE FL 2",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10016",
"telephone_number": "617-959-5709"
}
],
"practiceLocations": [
{
"address_1": "44 Binney Street",
"address_2": "Department of Nuclear Medicine, Dana Building, L2",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "02115",
"country_code": "US",
"telephone_number": "617-959-5709",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KARLS",
"first_name": "SHAWN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-25",
"last_updated": "2018-06-06",
"deactivation_date": "2018-01-02",
"reactivation_date": "2018-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MA",
"license": "270455",
"primary": false
},
{
"code": "2085N0904X",
"taxonomy_group": "",
"desc": "Radiology, Nuclear Radiology",
"state": "NY",
"license": "293539",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.