Individual provider Active NPI

MD Shahadat Hossain

  • Podiatrist
  • Bronx, NY
National Provider Identifier
1376004507
Registry record updated Oct 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N007224-01 Issued in NY
Practice address
372 E 204TH St FRNT 1B
Bronx, NY 10467-4771
Phone
(347) 947-8892
Fax
(347) 519-5466
NPI assigned
Mar 29, 2019
Last updated
Oct 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N007224-01 NY Primary

Addresses

Primary practice location

372 E 204TH St FRNT 1B
Bronx, NY 10467-4771

Mailing address

927 Quincy Ave FL 2
Bronx, NY 10465-1912
Phone (718) 206-6712

Other practice location 1

5615 7th Ave
Brooklyn, NY 11220-3509
Phone (929) 266-6434

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220721002542 NY Practitioner - Podiatry 0042540957 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Prime Podiatry P.C.Group PAC ID 6204207806, 2 clinicians

Practice addresses (Care Compare)

5615 7TH Ave
FL 3
Brooklyn, NY 11220-3509
Phone (929) 266-6434

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue48
Removal of skin lesions1-10
Removal of nail tissue65
Removal or shaving of skin growth47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N007224-01NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Podiatry PC Podiatrist CurrentSince Jul 1, 2022 Accepting new patients
All Borough Podiatry PC Podiatrist CurrentSince Jun 19, 2023 Accepting new patients
Foot Forward Podiatry, LLC Past Accepting new patients

Locations

14845 Hillside Ave
Fl 1
Jamaica, NY 11435
Phone (516) 476-1641

531 Targee St
Staten Island, NY 10304
Phone (347) 808-0346

796 Castleton Ave
Staten Island, NY 10310
Phone (347) 943-7766

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

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": "1553817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792454400000",
    "number": "1376004507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 QUINCY AVE FL 2",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104651912",
            "telephone_number": "718-206-6712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "372 E 204TH ST FRNT 1B",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104674771",
            "telephone_number": "347-947-8892",
            "fax_number": "347-519-5466"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5615 7th Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112203509",
            "country_code": "US",
            "telephone_number": "929-266-6434",
            "fax_number": "347-519-5466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOSSAIN",
        "first_name": "MD",
        "middle_name": "SHAHADAT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-29",
        "last_updated": "2026-10-20",
        "certification_date": "2026-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N007224-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.