Individual provider Active NPI

Hany R. Georgy Shehata, M.D.

  • Psychiatry Physician
  • Niagara Falls, NY
National Provider Identifier
1225008402
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
155002-J Issued in NY
Practice address
1001 11TH St
Niagara Falls, NY 14301-1201
Phone
(716) 439-7417
NPI assigned
Jan 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 155002-J NY Primary

Addresses

Primary practice location

1001 11TH St
Niagara Falls, NY 14301-1201

Mailing address

5467 Upper Mountain Rd
Suite 200
Lockport, NY 14094-1854
Phone (716) 439-7417

Other identifiers 1

IdentifierTypeStateIssuer
155002-JOtherNYPHYSICIAN LICENSE

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
I20050802000821 NY Practitioner - Psychiatry 8628006673 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mid-Erie Mental Health Services IncGroup PAC ID 5496707945, 33 clinicians
County of NiagaraGroup PAC ID 4587640446, 5 clinicians

Practice addresses (Care Compare)

1526 Walden Ave
Suite 400
Cheektowaga, NY 14225-4985
Phone (716) 895-7167

5467 Upper Mountain Rd
Suite 200
Lockport, NY 14094-1854
Phone (716) 439-7400

Hospital & facility affiliations

  • Niagara Falls Memorial Medical Center Hospital, Niagara Falls, NY, CCN 330065

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
155002-JNYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Niagara Current Accepting new patients
County of Niagara CurrentSince Oct 11, 2011 Accepting new patients
Mid Erie Mental Health Services Inc CurrentSince Apr 1, 1996 Accepting new patients
County of Niagara CurrentSince Oct 11, 2011 Accepting new patients
Catholic Charities of Buffalo PastSince Feb 8, 1999 Accepting new patients

Locations

463 William St
Buffalo, NY 14204
Phone (716) 852-0383

1526 Walden Ave
Ste 400
Cheektowaga, NY 14225
Phone (716) 895-7167

5467 Upper Mountain Rd
#200
Lockport, NY 14094
Phone (716) 439-7400

1001 11th St
Fl 3
Niagara Falls, NY 14301
Phone (716) 278-1900

1001 11th St
Niagara Falls, NY 14301
Phone (716) 278-1940

Organizations & group practices 5

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": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1225008402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5467 UPPER MOUNTAIN RD",
            "address_2": "SUITE 200",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140941854",
            "telephone_number": "716-439-7417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 11TH ST",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143011201",
            "telephone_number": "716-439-7417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEHATA",
        "first_name": "HANY",
        "middle_name": "R. GEORGY",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "155002-J",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN LICENSE",
            "identifier": "155002-J",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Niagara Falls, NY

Sources for this page

Verify at the official NPI Registry.