Active NPI
Mahrukh Shah
- Pediatric Pulmonology Physician
- New Haven, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Pulmonology Physician
- License
- 79282
- Practice address
- 35 Park St
New Haven, CT 06519-1110 - Phone
- (929) 755-2963
- NPI assigned
- Jul 16, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatric Pulmonology Physician | 2080P0214X | 79282 | CT | Primary |
Addresses
Primary practice location
35 Park St
New Haven, CT 06519-1110
Mailing address
330 Cedar St RM 509
New Haven, CT 06510-3218
Phone (929) 755-2963
Other practice location 1
1 Brookdale Plz
Brooklyn, NY 11212-3139
Phone (718) 240-5000 ext. 5893
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yale University | Current | Accepting new patients | |
| Yale University | Current | Accepting new patients | |
| Yale University | Current | Accepting new patients |
Locations
800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140
35 Park St
New Haven, CT 06519
Phone (203) 200-2100
50 Division St
New Haven, CT 06511
Phone (203) 785-2140
1 Long Wharf Dr
Ste 211
New Haven, CT 06511
Phone (203) 562-6664
330 Cedar St
Rm 509
New Haven, CT 06510
3 Shaws Cv
New London, CT 06320
Phone (860) 442-0400
1 Park St
North Haven, CT 06504
Phone (203) 785-4643
Interoperability endpoints
- sic9054@direct.nyp.org
- mshah727705@direct.ynhh.org
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- New Haven, CT
- NPI 1205822236
-
- Adult Mental Health Clinic/Center
- Hamden, CT
- NPI 1134391824
-
- Durable Medical Equipment & Medical Supplies
- Fairfield, CT
- NPI 1548066962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753401600000",
"number": "1346726064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 CEDAR ST RM 509",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065103218",
"telephone_number": "929-755-2963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 PARK ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065191110",
"telephone_number": "929-755-2963"
}
],
"practiceLocations": [
{
"address_1": "1 Brookdale Plz",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112123139",
"country_code": "US",
"telephone_number": "718-240-5000 x5893",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAH",
"first_name": "MAHRUKH",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-16",
"last_updated": "2025-07-25",
"certification_date": "2025-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080P0214X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Pulmonology",
"state": "CT",
"license": "79282",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.