Amit Rajendra Shah, M.D.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

250719 Issued in NY

Practice address

450 Sunrise Hwy
Massapequa Park, NY 11762-2901

Phone

(516) 809-9217

NPI assigned

Feb 27, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Specialty

Vascular SurgeryAlso: General Surgery

Education

State University of New York Downstate Medical Center, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prine Health Medical Group, PLLCGroup PAC ID 1557600384, 77 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Catholic Home Care Home health agency, Farmingdale, NY, CCN 337147
• Jacobi Medical Center Hospital, Bronx, NY, CCN 330127

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

99.37

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

92.95 of 100Reported as group

Quality

76.17

Promoting interoperability

99

Improvement activities

40

Cost

67.84

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

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

Interoperability endpoints

• Direct secure messaging: ashah@prine.curemd.direct-ci.com
• Direct secure messaging: amit.shah.p28@direct.aac.nextgenshare.com
• Direct secure messaging: amit.shah.p97@direct.lifelinevascular.nextgenshare.com

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.

• Amit R Shah Vascuar Surgery PLLC

  • Vascular Surgery Physician
  • Brooklyn, NY
  • NPI 1902567068
  NPD Authorized official
• Prine Health Medical Group, PLLC

  dba PRINE Podiatry

  • Nephrology Physician
  • Manhasset, NY
  • NPI 1144790163
  Care Compare group NPD
• Mamta H Parikh MD PC

  • Internal Medicine Physician
  • Glen Head, NY
  • NPI 1578350757
  NPD
• Prine Health Medical Group, PLLC

  dba PRINE Podiatry

  • Podiatrist
  • Hicksville, NY
  • NPI 1538868336
  NPD
• Victory Medical Associates PC

  • Cardiovascular Disease Physician
  • New York, NY
  • NPI 1902460124
  NPD
• Bronx Nephrology Hypertension PC

  • Nephrology Physician
  • Bronx, NY
  • NPI 1912187956
  NPD (past)
• Heartbeat Medical, PC

  • Cardiovascular Disease Physician
  • New York, NY
  • NPI 1215177126
  NPD (past)
• New York City Health and Hospitals Corporation

  dba Jacobi Medical Center

  • General Acute Care Hospital
  • Bronx, NY
  • NPI 1679587679
  NPD (past)
• Nirav Patel Medical PC

  • Vascular Surgery Physician
  • New York, NY
  • NPI 1881088300
  NPD (past)
• Vascular Corrections PC

  • Cardiovascular Disease Physician
  • Amityville, NY
  • NPI 1578805917
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• New York City Health and Hospitals Corporation

  dba Jacobi Medical Center

  • General Acute Care Hospital
  • Bronx, NY
  • NPI 1679587679
  Care Compare affiliation
• Nursing Sisters Home Care, Inc.

  dba Catholic Health Home Care

  • Home Health Agency
  • Farmingdale, NY
  • NPI 1780670711
  Care Compare affiliation

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

{
    "created_epoch": "1267228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1396067682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 EVANS DR",
            "city": "GLEN HEAD",
            "state": "NY",
            "postal_code": "115453145",
            "telephone_number": "347-701-1041",
            "fax_number": "718-918-5593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 SUNRISE HWY",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117622901",
            "telephone_number": "516-809-9217"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Pelham Pkwy S",
            "address_2": "Suite 1213",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104611138",
            "country_code": "US",
            "telephone_number": "718-918-5590",
            "fax_number": "718-918-5593",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Northern Blvd Ste 115",
            "address_purpose": "LOCATION",
            "city": "Great Neck",
            "state": "NY",
            "postal_code": "110215200",
            "country_code": "US",
            "telephone_number": "516-482-8220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "250 Pettit Ave Ste 2",
            "address_purpose": "LOCATION",
            "city": "Bellmore",
            "state": "NY",
            "postal_code": "117103657",
            "country_code": "US",
            "telephone_number": "516-387-7463",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "27111 76th Ave",
            "address_purpose": "LOCATION",
            "city": "New Hyde Park",
            "state": "NY",
            "postal_code": "110401436",
            "country_code": "US",
            "telephone_number": "516-387-7463",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "290 Community Dr",
            "address_purpose": "LOCATION",
            "city": "Great Neck",
            "state": "NY",
            "postal_code": "110215504",
            "country_code": "US",
            "telephone_number": "516-487-1902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "AMIT",
        "middle_name": "RAJENDRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-27",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "250719",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "250719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey Elizabeth Schoenweiss, RN
• Kenneth W Schwarz, RPH
• Karen Schweppe, MA, CCC-SLP
• William Schwetz
• Nicholas Sesto
• Krystin Shand
• Gulru Sharifova
• Jeremy Sheinman
• Jennifer Sheridan, CCC-SLP
• Marisa Anne Simmons, PHARM D.

• Vascular Surgery Physician in Massapequa Park, NY
• Providers in Massapequa Park, NY by specialty
• Vascular Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• 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.