Individual provider Active NPI

Muhammad Shams

  • Physician Assistant
  • Hewlett, NY
National Provider Identifier
1245621366
Registry record updated Jun 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
018395 Issued in NY
Practice address
1512 Broadway
Hewlett, NY 11557-1429
Phone
(516) 374-6838
Fax
(516) 374-2362
NPI assigned
Feb 11, 2015
Last updated
Jun 28, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 018395 NY Primary

Addresses

Primary practice location

1512 Broadway
Hewlett, NY 11557-1429

Mailing address

1512 Broadway
Hewlett, NY 11557-1429
Phone (516) 374-6838

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150708001556 NY Practitioner - Physician Assistant 7012229826 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1470 Metropolitan Ave
Bronx, NY 10462-7446
Phone (718) 571-9270

1613 Westchester Ave
Bronx, NY 10472-2914
Phone (718) 571-9407

1919 Hempstead Tpke
East Meadow, NY 11554-1710
Phone (516) 227-2273

2 W Fordham Rd
Bronx, NY 10468-5359
Phone (646) 647-1255

2178 White Plains Rd
Bronx, NY 10462-1406
Phone (718) 489-3555

2902 3Rd Ave
Bronx, NY 10455-2601
Phone (718) 571-9276

3111 Steinway St
Astoria, NY 11103-3908
Phone (718) 475-2345

32 Westchester SQ
Bronx, NY 10461-3514
Phone (646) 661-6668

336 E 86TH St
New York, NY 10028-4615
Phone (212) 772-3627

3494 Jerome Ave
Bronx, NY 10467-1002
Phone (718) 571-9282

3780 E Tremont Ave
Bronx, NY 10465-2434
Phone (646) 518-8248

571 E 138TH St
Bronx, NY 10454-2702
Phone (718) 571-9421

68 E 161St St
Bronx, NY 10451-2207
Phone (718) 571-9139

875 Pelham Pkwy
Pelham, NY 10803-2710
Phone (914) 219-0188

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
018395NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
City Medical of Upper East Side, PLLC CurrentSince Jun 20, 2025 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Jun 20, 2025 Accepting new patients
TJH Medical Services, P.C. Past Accepting new patients

Locations

3111 Steinway St
Astoria, NY 11103
Phone (718) 475-2345

336 E 86th St
New York, NY 10028
Phone (212) 772-3627

Interoperability endpoints

  • Direct secure messaging: muhammad.shams.1@2983.direct.athenahealth.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1423612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435449600000",
    "number": "1245621366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 BROADWAY",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115571429",
            "telephone_number": "516-374-6838",
            "fax_number": "516-374-2362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 BROADWAY",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115571429",
            "telephone_number": "516-374-6838",
            "fax_number": "516-374-2362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMS",
        "first_name": "MUHAMMAD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-11",
        "last_updated": "2015-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "018395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hewlett, NY

Sources for this page

Verify at the official NPI Registry.