Behruj Shikdar, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

N007509-01 Issued in NY

Practice address

161 Willis Ave
Mineola, NY 11501-2616

Phone

(516) 280-6645

Fax

(516) 414-0273

NPI assigned

Apr 18, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1326734740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 WILLIS AVE",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115012616",
            "telephone_number": "516-280-6645",
            "fax_number": "516-414-0273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 WILLIS AVE",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115012616",
            "telephone_number": "516-280-6645",
            "fax_number": "516-414-0273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIKDAR",
        "first_name": "BEHRUJ",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-18",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N007509-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mangalore Amith Shenoy, M.D.
• Gary Sher, M.D.
• Karen Ellen Sherman, PH.D.
• Stuart Robert Sherman, D.O.
• William Shestak, D.O.
• David S Shin, MD
• Eunha Kim Shin, M.D.
• Grace Shin, MS IN ED
• Obaib Shoaib, M.D.
• Weihong Shu

• Foot & Ankle Surgery Podiatrist in Mineola, NY
• Providers in Mineola, NY by specialty
• Foot & Ankle Surgery Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; 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.