Individual provider Active NPI

Falak B Shah, MD

  • Interventional Cardiology Physician
  • Kingston, NY
National Provider Identifier
1215199237
Registry record updated Jan 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
287184 Issued in NY
Practice address
111 Marys Ave Ste 3
Kingston, NY 12401-5896
Phone
(845) 339-3663
Fax
(845) 339-3629
NPI assigned
Jun 30, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 287184 NY Primary

Addresses

Primary practice location

111 Marys Ave Ste 3
Kingston, NY 12401-5896

Mailing address

19 Bradhurst Ave
Ste 3100N
Hawthorne, NY 10532-2140
Phone (914) 909-9018

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Falak.Shah@wmchealth.cernerdirect.com Direct

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
I20180424002063 NY Practitioner - Cardiovascular Disease (Cardiology) 7416259759 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Rush Medical College of Rush University, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Westchester Medical Center Advanced Physician Services PCGroup PAC ID 3173660776, 879 clinicians

Practice addresses (Care Compare)

105 Marys Ave
Kingston, NY 12401-5829
Phone (845) 331-3131

111 Marys Ave
Suite 3
Kingston, NY 12401-5896
Phone (845) 339-3663

117 Marys Ave
Suite 102
Kingston, NY 12401-5849
Phone (845) 338-5555

396 Broadway
Kingston, NY 12401-4626
Phone (845) 331-3131

42082 State Hwy 28
Suite 17
Margaretville, NY 12455-2820
Phone (845) 303-1132

42084 State Hwy 28
Margaretville, NY 12455-2820
Phone (845) 586-2631

95 Grasslands Rd
Valhalla, NY 10595-1652
Phone (914) 493-6940

Hospital & facility affiliations

  • Healthalliance Hospital Marys Avenue Campus Hospital, Kingston, NY, CCN 330224
  • Westchester Medical Center Hospital, Valhalla, NY, CCN 330234
  • Margaretville Memorial Hospital Hospital, Margaretville, NY, CCN 331304
  • Vassar Brothers Medical Center Hospital, Poughkeepsie, NY, CCN 330023
  • Northern Dutchess Hospital Hospital, Rhinebeck, NY, CCN 330049

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting14
Pacemaker insertion or repair1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Westchester Medical Center Advanced Physician Services PC CurrentSince May 1, 2018 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC CurrentSince May 1, 2018 Accepting new patients
Westchester Medical Center Past Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

19 Bradhurst Ave
Ste 3100N
Hawthorne, NY 10532
Phone (914) 231-8373

396 Broadway
Kingston, NY 12401
Phone (845) 331-3131

111 Marys Ave
Ste 3
Kingston, NY 12401
Phone (845) 452-7319

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

Networks

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

Interoperability endpoints

  • Direct secure messaging: falak.shah@wmchealth.cernerdirect.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/0e5efebe-b60c-458e-971a-ee39e08a2178/

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Healthalliance Hospital Marys Avenue CampusKingston, NY, CCN 330224 Hospital Corporate Director Jan 1, 2023
Healthalliance Hospital Marys Avenue CampusKingston, NY, CCN 33S224 Hospital Corporate Director Jan 1, 2023

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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 6

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": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1215199237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 BRADHURST AVE",
            "address_2": "STE 3100N",
            "city": "HAWTHORNE",
            "state": "NY",
            "postal_code": "105322140",
            "telephone_number": "914-909-9018",
            "fax_number": "914-909-9028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 MARYS AVE STE 3",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124015896",
            "telephone_number": "845-339-3663",
            "fax_number": "845-339-3629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "FALAK",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-30",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NY",
            "license": "287184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Falak.Shah@wmchealth.cernerdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "111 Marys Ave Ste 3",
            "city": "Kingston",
            "state": "NY",
            "country_code": "US",
            "postal_code": "124015896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kingston, NY

Sources for this page

Verify at the official NPI Registry.