Kalyan K Shastri, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

60 267346 Issued in NY

Practice address

2950 Elmwood Ave
Buffalo, NY 14217-1304

Phone

(716) 462-4600

Fax

(716) 462-4645

NPI assigned

Jun 19, 2008

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

Other identifiers 1

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

Neurology

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kenmore Mercy Hospital Hospital, Kenmore, NY, CCN 330102
• Mount St. Mary'S Hospital & Health Center Hospital, Lewiston, NY, CCN 330188
• Sisters of Charity Hospital Hospital, Buffalo, NY, CCN 330078

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Kalyan K. Shastri M.D. PLLC

  • Neurology Physician
  • Buffalo, NY
  • NPI 1477220770
  Medicare reassignment NPD Authorized official
• Mercy Hospital of Buffalo

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1164464921
  Medicare reassignment NPD
• Mercy Hospital of Buffalo

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1851929954

  Neurology

  NPD

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

• Kenmore Mercy Hospital

  • General Acute Care Hospital
  • Kenmore, NY
  • NPI 1770598104
  Care Compare affiliation
• Mount St. Mary'S Hospital of Niagara Falls

  • General Acute Care Hospital
  • Lewiston, NY
  • NPI 1043394745
  Care Compare affiliation
• Sisters of Charity Hospital of Buffalo New York

  • General Acute Care Hospital
  • Cheektowaga, NY
  • NPI 1043455199
  Care Compare affiliation
• Sisters of Charity Hospital of Buffalo New York

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1790727543
  Care Compare affiliation

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1275794554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4",
            "city": "GETZVILLE",
            "state": "NY",
            "postal_code": "140680004",
            "telephone_number": "972-408-7326",
            "fax_number": "908-282-3152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 ELMWOOD AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142171304",
            "telephone_number": "716-462-4600",
            "fax_number": "716-462-4645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHASTRI",
        "first_name": "KALYAN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-19",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "60 267346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03528503",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jermaine James Sharp
• Tryniquia Sharp, LPN
• Anna Marinsky Sharpe, LCSW
• Gusteen B Sharpe
• Preeti Shashi
• Ana Lucia Shatah
• Jared Ellis Shatkin
• Juliet Shatkin
• Alexis Emily Shattuck, OTR
• Margaret M Shaughnessy, PT

• Neurology Physician in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Neurology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; 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.