NPIMap

Individual provider Active NPI

Shakeel Ahmad Usmani, MD

  • Internal Medicine Physician
  • Auburn, NY
National Provider Identifier
1275715153
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
246844 Issued in NY
Practice address
17 Lansing St
Auburn, NY 13021-1983
Phone
(315) 567-0437
NPI assigned
Dec 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 246844 NY
Internal Medicine Physician 207R00000X 246844 NY Primary

Addresses

Primary practice location

17 Lansing St
Auburn, NY 13021-1983

Mailing address

1869 Cropsey Ave
#2R
Brooklyn, NY 11214-6040
Phone (718) 373-1547

Other practice location 1

1869 Cropsey Ave
#2R
Brooklyn, NY 11214-6040
Phone (718) 373-1547

Other practice location 2

1511 East Genesee Street Suite 300
Skeaneatles, NY 13152
Phone (315) 291-7069

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080515000460 NY Practitioner - Internal Medicine 3375612401 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Port City Emergency Physicians LLPGroup PAC ID 0345301917, 46 clinicians
Emergency Physician Services of New York, P.C.Group PAC ID 8325939804, 128 clinicians
Auburn Memorial Medical Services PCGroup PAC ID 6406931385, 121 clinicians

Practice addresses (Care Compare)

110 W 6TH St
Oswego, NY 13126-2507
Phone (315) 349-5511

1500 N James St
Rome Memorial Hospital
Rome, NY 13440-2844
Phone (315) 338-7035

17 Lansing St
Suite 201
Auburn, NY 13021-1983
Phone (315) 252-8838

Hospital & facility affiliations

  • Auburn Community Hospital Hospital, Auburn, NY, CCN 330235
  • Rome Memorial Hospital, Inc Hospital, Rome, NY, CCN 330215
  • Oswego Hospital Hospital, Oswego, NY, CCN 330218

Merit-based Incentive Payment System (MIPS)

Final score
75.68 of 100Reported as group
Quality
48.88
Promoting interoperability
91
Improvement activities
40
Cost
71.94

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Port City Emergency Physicians LLP Emergency Medicine CurrentSince Jan 3, 2024 Accepting new patients
Port City Emergency Physicians LLP Emergency Medicine Current Accepting new patients
Auburn Memorial Medical Services, PC Internal Medicine CurrentSince Jul 25, 2022 Accepting new patients
Port City Emergency Physicians LLP Emergency Medicine CurrentSince Jan 3, 2024 Accepting new patients
Auburn Memorial Medical Services, PC CurrentSince Jul 25, 2022 Accepting new patients
RJ Medical & Urgent Care, PLLC CurrentSince Jan 11, 2016 Accepting new patients
Emergency Physician Services of New York, P.C. Emergency Medicine CurrentSince Apr 9, 2023 Accepting new patients
Chemung Medical Services PC Emergency Medicine Past Accepting new patients
Island Medical Empire State, PLLC Emergency Medicine Past Accepting new patients
LMC Physician Services, PC Internal Medicine Past Accepting new patients
Fort Edward Rescue Squad Inc Past Accepting new patients

Locations

77 Nelson St
Ste 120
Auburn, NY 13021
Phone (315) 252-7550

17 Lansing St
Ste 201
Auburn, NY 13021
Phone (315) 252-7434

464 Bay Ridge Ave
Ste A
Brooklyn, NY 11220
Phone (718) 680-6006

110 W 6th St
Oswego, NY 13126
Phone (315) 349-5511

1500 N James St
Rome, NY 13440
Phone (315) 338-7000

17 Lansing St
Sennett, NY 13021
Phone (315) 255-7011

2209 Genesee St
Utica, NY 13501
Phone (315) 798-8100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1798/brand/1/csg/1/fhir/r4

Organizations & group practices 12

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 10

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": "1196640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677196800000",
    "number": "1275715153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1869 CROPSEY AVE",
            "address_2": "#2R",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112146040",
            "telephone_number": "718-373-1547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 LANSING ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130211983",
            "telephone_number": "315-567-0437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1869 Cropsey Ave",
            "address_2": "#2R",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112146040",
            "country_code": "US",
            "telephone_number": "718-373-1547",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1511 East Genesee Street Suite 300",
            "address_purpose": "LOCATION",
            "city": "Skeaneatles",
            "state": "NY",
            "postal_code": "13152",
            "country_code": "US",
            "telephone_number": "315-291-7069",
            "fax_number": "315-291-7176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "USMANI",
        "first_name": "SHAKEEL",
        "middle_name": "AHMAD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-03",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "246844",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "246844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, NY

Sources for this page

Verify at the official NPI Registry.