Active NPI
Kamran Shaukat, MD
- Surgery Physician
- Huntington, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 178907
- Practice address
- 241 E Main St
Huntington, NY 11743-2917 - Phone
- (631) 812-2873
- Fax
- (917) 979-4997
- NPI assigned
- Feb 17, 2006
- Last updated
- Sep 17, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 178907 | NY | Primary |
| Surgery of the Hand (Surgery) Physician | 2086S0105X | 178907 | NY |
Addresses
Primary practice location
241 E Main St
Huntington, NY 11743-2917
Mailing address
12 N 7TH Ave
Mount Vernon, NY 10550-2026
Phone (914) 664-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01197653 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2090 Jericho Tpke
New Hyde Park, NY 11040-4719
Phone (516) 352-7828
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178907 | NY | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walk in Medical Urgent Care, P.C. | Current | Accepting new patients | |
| Divinity Medical Services PLLC | Current | Accepting new patients | |
| Throgs Neck Urgent Medical Care PLLC | Past | Accepting new patients |
Locations
236 S Main St
New City, NY 10956
Phone (845) 678-3434
155 White Plains Rd
Tarrytown, NY 10591
Phone (914) 332-7571
660 Columbus Ave
Thornwood, NY 10594
Phone (914) 747-2000
929 McLean Ave
Yonkers, NY 10704
Phone (914) 803-8100
3379 Crompond Rd
Yorktown Hts, NY 10598
Phone (914) 245-1111
Organizations & group practices 4
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.
-
- Emergency Care Clinic/Center
- New Hyde Park, NY
- NPI 1710020417
-
dba AFC Urgent Care Yorktown
- Urgent Care Clinic/Center
- Yorktown Heights, NY
- NPI 1497159560
-
- Urgent Care Clinic/Center
- New City, NY
- NPI 1306137070
-
- Urgent Care Clinic/Center
- Yonkers, NY
- NPI 1154684207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568678400000",
"number": "1316912041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 N 7TH AVE",
"city": "MOUNT VERNON",
"state": "NY",
"postal_code": "105502026",
"telephone_number": "914-664-8000",
"fax_number": "914-664-8015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "241 E MAIN ST",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117432917",
"telephone_number": "631-812-2873",
"fax_number": "917-979-4997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAUKAT",
"first_name": "KAMRAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-17",
"last_updated": "2019-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "178907",
"primary": true
},
{
"code": "2086S0105X",
"taxonomy_group": "",
"desc": "Surgery, Surgery of the Hand",
"state": "NY",
"license": "178907",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01197653",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huntington, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; 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.