Alla Shakhanova, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

205672 Issued in NY

Practice address

4241 Hylan Blvd
Staten Island, NY 10312

Phone

(718) 967-7016

Fax

(718) 605-4426

NPI assigned

Apr 19, 2006

Last updated

May 1, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

Other, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bay Medical Care Services PLLCGroup PAC ID 5294913307, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

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

Interoperability endpoints

• Direct secure messaging: ashakhanova66420@northwell.direct-ci.com

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.

• Bay Medical Care Services PLLC

  • Obstetrics & Gynecology Physician
  • Staten Island, NY
  • NPI 1457650152
  Medicare reassignment Care Compare group NPD
• Comprehensive Rehabilitation Medicine P.C.

  • Physical Medicine & Rehabilitation Physician
  • Brooklyn, NY
  • NPI 1053481838
  NPD (past)
• Joseph P. Addabbo Family Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Ozone Park, NY
  • NPI 1134476443
  NPD (past)
• Richmond Medical Health Care P.C.

  • Obstetrics & Gynecology Physician
  • Staten Island, NY
  • NPI 1154628501
  NPD (past)
• Advance Chiropractic Clinics P C

  • Health Service Clinic/Center
  • Clark, NJ
  • NPI 1194118752
  NPD (past)
• Advanced Chiropractic Healthcare, LLC

  • Chiropractor
  • Clark, NJ
  • NPI 1750579405
  NPD (past)

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209600000000",
    "number": "1437114667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4241 HYLAN BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10312",
            "telephone_number": "718-967-7016",
            "fax_number": "718-605-4426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4241 HYLAN BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10312",
            "telephone_number": "718-967-7016",
            "fax_number": "718-605-4426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAKHANOVA",
        "first_name": "ALLA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2008-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "205672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01842346",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sindhu Shaji III
• Aleeza Shakeel
• Madona Shaker
• Mariam Shaker
• Vikram M Shaker, M.D.
• Haque Shakil, DO
• Michael Shakin, DDS
• Tuzeen Shakir
• Ahmed Shalabi
• Fatma Hamdy Shalan, MD

• Internal Medicine Physician in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; 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.