Individual provider Active NPI

Kamran Shaukat, MD

  • Surgery Physician
  • Huntington, NY
National Provider Identifier
1316912041
Registry record updated Sep 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
178907 Issued in NY
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, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01197653MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120220000174 NY Practitioner - General SurgeryPractitioner - Hand Surgery 6709044985 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Hand Surgery
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Statmd Physicians PLLCGroup PAC ID 8820035439, 5 clinicians

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

LicenseStateTypeSpecialty
178907NYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Walk in Medical Urgent Care, P.C. CurrentSince Mar 13, 2025 Accepting new patients
Divinity Medical Services PLLC CurrentSince Nov 3, 2019 Accepting new patients
Throgs Neck Urgent Medical Care PLLC PastSince Jun 23, 2025 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.

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

Verify at the official NPI Registry.