Individual provider Active NPI

Nikita Shah, M.D.

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1285959163
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
274322 Issued in NY
Practice address
274 Madison Ave RM 1501
New York, NY 10016-0701
Phone
(212) 203-1773
Fax
(646) 665-4427
NPI assigned
Apr 2, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Psychiatry Physician 2084F0202X 274322 NY
Psychiatry Physician 2084P0800X 76074 CT
Psychiatry Physician 2084P0800X 274322 NY Primary

Addresses

Primary practice location

274 Madison Ave RM 1501
New York, NY 10016-0701

Mailing address

274 Madison Ave RM 1501
New York, NY 10016-0701
Phone (212) 203-1773

Other practice location 1

500 Post Rd E Ste 265
Westport, CT 06880-4431
Phone (221) 220-3177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, TX, NY, CT, MA5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20190122002624 MO Practitioner - Psychiatry 1759695711 Reassigns benefits to 1 organization
I20210624001012 TX Practitioner - Psychiatry 1759695711 Reassigns benefits to 1 organization
I20231005000524 NY Practitioner - Psychiatry 1759695711 Reassigns benefits to 1 organization
I20240506001563 CT Practitioner - Psychiatry 1759695711 Reassigns benefits to 1 organization
I20250721002694 MA Practitioner - Psychiatry 1759695711 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Missouri, Kansas City, School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rivia Medical PLLCGroup PAC ID 4880009943, 67 clinicians

Practice addresses (Care Compare)

2 Burlington Woods Dr
Suite 100
Burlington, MA 01803-4551
Phone (212) 203-1773

350 E Ave
Suite 203
Rochester, NY 14604-2604
Phone (212) 203-1773

500 Post Rd E
Suite 265
Westport, CT 06880-4431
Phone (212) 203-1773

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
76074CTMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Health Physicians CurrentSince Jan 1, 2019 Accepting new patients
Tri-County Clinical CurrentSince Jun 14, 2021 Accepting new patients
Tri-County Clinical Current Accepting new patients
Rivia Medical PLLC CurrentSince Mar 27, 2024 Accepting new patients
Rivia Medical PLLC Psychiatry CurrentSince Aug 23, 2023 Accepting new patients

Locations

500 Post Rd E
Ste 265
Westport, CT 06880
Phone (212) 202-1773

186 Lincoln St
Fl 12
Boston, MA 02111

2 Burlington Woods Dr
Ste 100
Burlington, MA 01803
Phone (617) 821-4923

4407 E 50th Ter
Kansas City, MO 64130
Phone (816) 924-1201

2310 Holmes St
Ste 800
Kansas City, MO 64108
Phone (816) 218-2500

7900 Lees Summit Rd
Kansas City, MO 64139
Phone (816) 373-4485

1000 E 24th St
Ofc 53
Kansas City, MO 64108
Phone (816) 404-3710

401 New Karner Rd
Ste 301
Albany, NY 12205
Phone (212) 203-1173

274 Madison Ave
Rm 1501
New York, NY 10016
Phone (212) 202-1773

350 East Ave
Ste 203
Rochester, NY 14604

3501 Mills Ave
Austin, TX 78731
Phone (512) 324-1017

4900 Mueller Blvd
Austin, TX 78723
Phone (512) 324-0165

1500 Red River St
Austin, TX 78701
Phone (512) 324-0150

Interoperability endpoints

  • Direct secure messaging: nshah136003@direct.umm.edu

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.

NPI Registry JSON

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

{
    "created_epoch": "1270166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1285959163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "274 MADISON AVE RM 1501",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100160701",
            "telephone_number": "212-203-1773",
            "fax_number": "646-665-4427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 MADISON AVE RM 1501",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100160701",
            "telephone_number": "212-203-1773",
            "fax_number": "646-665-4427"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Post Rd E Ste 265",
            "address_purpose": "LOCATION",
            "city": "Westport",
            "state": "CT",
            "postal_code": "068804431",
            "country_code": "US",
            "telephone_number": "221-220-3177",
            "fax_number": "646-665-4427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "NIKITA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-02",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "NY",
            "license": "274322",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "76074",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "274322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.