Mitanshu Shah, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

287722 Issued in NY

Practice address

4500 Parsons Blvd
Flushing, NY 11355-2205

Phone

(718) 670-5000

NPI assigned

Jul 19, 2010

Last updated

Jan 26, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Gastroenterology

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

The Gastroenterology Practice PLLCGroup PAC ID 7911247754, 2 clinicians

New York Medicine Gastroenterology PLLCGroup PAC ID 2466982640, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Flushing Hospital Medical Center Hospital, Flushing, NY, CCN 330193

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

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

Interoperability endpoints

• Direct secure messaging: mshah75395@direct.medisys.org

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.

• New York Medicine Gastroenterology PLLC

  dba The Gastroenterology Practice in Levittown

  • Gastroenterology Physician
  • Levittown, NY
  • NPI 1164245080
  Medicare reassignment Care Compare group NPD Authorized official
• The Gastroenterology Practice PLLC

  • Gastroenterology Physician
  • Hempstead, NY
  • NPI 1083178651
  Medicare reassignment Care Compare group NPD Authorized official
• Flushing Hospital & Medical Center

  • General Acute Care Hospital
  • Flushing, NY
  • NPI 1548217763
  Medicare reassignment NPD
• Gold Coast Gastroenterology P.C.

  • Gastroenterology Physician
  • Syosset, NY
  • NPI 1528467685
  Medicare reassignment NPD
• Hillside Polymedic Diagnostic & Treatment Center Inc

  • Clinic/Center
  • Jamaica, NY
  • NPI 1689879280
  Medicare reassignment NPD
• Long Island Medical P.C.

  • Gastroenterology Physician
  • Syosset, NY
  • NPI 1659500106
  Medicare reassignment NPD
• Nassau Health Care Corporation

  dba Nassau Department of Psychiatry and Psychology, FPP

  • General Acute Care Hospital
  • East Meadow, NY
  • NPI 1902822992
  Medicare reassignment NPD
• TJH Medical Services, P.C.

  • Internal Medicine Physician
  • Jamaica, NY
  • NPI 1184670465
  Medicare reassignment NPD
• Flushing Hospital Medical Center

  • Skilled Nursing Facility
  • Flushing, NY
  • NPI 1568693174
  NPD
• Nassau Health Care Corporation

  • General Acute Care Hospital
  • East Meadow, NY
  • NPI 1639194228
  NPD
• Nassau Health Care Corporation

  dba NUMC Department of Family Medicine, FPP

  • General Acute Care Hospital
  • East Meadow, NY
  • NPI 1730530940
  NPD
• Hillside Polymedic P.C.

  • Gastroenterology Physician
  • Jamaica, NY
  • NPI 1083743223
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Flushing Hospital & Medical Center

  • General Acute Care Hospital
  • Flushing, NY
  • NPI 1154461622
  Care Compare affiliation
• Flushing Hospital & Medical Center

  • General Acute Care Hospital
  • Flushing, NY
  • NPI 1548217763
  Care Compare affiliation

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

{
    "created_epoch": "1279497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516924800000",
    "number": "1215240221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 PARSONS BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 PARSONS BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552205",
            "telephone_number": "718-670-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "MITANSHU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-19",
        "last_updated": "2018-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "287722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amina B Shah
• Chandni V Shah, R.PH.
• Darshak Shah, MD
• Ghulam Murtaza Shah, MBBS
• Jason Shah, DO
• Nathubhai C Shah, MD
• Nirav Shah, PT
• Pratiksha Shah
• Purva Shah, MBBS
• Rani Shah, DMD

• Gastroenterology Physician in Flushing, NY
• Providers in Flushing, NY by specialty
• Gastroenterology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2018; 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.

Verify at the official NPI Registry.