Individual provider Active NPI

Dev Vikram Shah

  • Hospitalist Physician
  • Manhasset, NY
National Provider Identifier
1235556325
Registry record updated Aug 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
281504 Issued in NY
Practice address
300 Community Dr
Manhasset, NY 11030-3816
Phone
(516) 562-4764
NPI assigned
Mar 26, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 281504 NY Primary

Addresses

Primary practice location

300 Community Dr
Manhasset, NY 11030-3816

Mailing address

300 Community Dr
Office of Graduate Medical Education Attn: Y.M Dicanio
Manhasset, NY 11030-3816
Phone (516) 562-4764

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
I20170605001301 NY Practitioner - Internal Medicine 9537436092 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
State University of New York at Stony Brook, School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7 S Madison Ave
Spring Valley, NY 10977-5539
Phone (845) 352-4205

Hospital & facility affiliations

  • Americare Certified Special Services, Inc Chha Home health agency, Brooklyn, NY, CCN 337290
  • Helen Hayes Hospital Hospital, West Haverstraw, NY, CCN 330405
  • Nyack Hospital Hospital, Nyack, NY, CCN 330104
  • Good Samaritan Hospital of Suffern Hospital, Suffern, NY, CCN 330158
  • Friedwald Center For Rehab And Nursing, L L C Nursing home, New City, NY, CCN 335734

Merit-based Incentive Payment System (MIPS)

Final score
18.27 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
60.9

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
281504NYMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dev Shah MD PLLC CurrentSince Nov 7, 2019 Accepting new patients
North Shore-Lij Medical PC Hospitalist CurrentSince Jun 26, 2017 Accepting new patients
Friedwald Center for Rehabilitation and Nursing, LLC Past Accepting new patients

Locations

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

27005 76th Ave
Fl 3
New Hyde Park, NY 11040
Phone (718) 470-3116

300 Community Dr
Plandome, NY 11030

7 S Madison Ave
Spring Valley, NY 10977
Phone (845) 352-4205

972 Brush Hollow Rd
Westbury, NY 11590

Ownership & related parties

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Friedwald Center for Rehabilitation and Nursing, LLCNew City, NY, CCN 335734001 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Dec 11, 2018
Dec 11, 2018

Owned or controlled facilities with NPI records 1

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

Organizations & group practices 3

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 4

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": "1395792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501718400000",
    "number": "1235556325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 COMMUNITY DR",
            "address_2": "OFFICE OF GRADUATE MEDICAL EDUCATION ATTN: Y.M DICANIO",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303816",
            "telephone_number": "516-562-4764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 COMMUNITY DR",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303816",
            "telephone_number": "516-562-4764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "DEV",
        "middle_name": "VIKRAM",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-26",
        "last_updated": "2017-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "281504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhasset, NY

Sources for this page

Verify at the official NPI Registry.