Active NPI
Shreyas Sureshbhai Mistry, M.D.
- Family Medicine Physician
- Bay Shore, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME122478
- Practice address
- 301 E Main St
Bay Shore, NY 11706-8408 - Phone
- (631) 968-3000
- NPI assigned
- Mar 11, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME122478 | FL | Primary |
| Family Medicine Physician | 207Q00000X | 0101257804 | VA |
Addresses
Primary practice location
301 E Main St
Bay Shore, NY 11706-8408
Mailing address
PO Box 947407
Atlanta, GA 30394-7407
Phone (941) 917-2600
Other practice location 1
1700 S Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-4896
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, FL, VA, WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1700 S Tamiami TRL
Sarasota, FL 34239-3509
Phone (941) 917-7760
Hospital & facility affiliations
- Sarasota Memorial Homecare
- Sarasota Memorial Hospital
- Sarasota Memorial Hospital - Venice
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Medicine Physicians of West Virginia- TCG PLLC | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Fredericksburg, LLC | Current | Accepting new patients | |
| Sound Physicians Emergency Medicine of Georgia PC | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of West Virginia, PLLC | Family Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Virginia LLC | Family Medicine | Current | Accepting new patients |
| SMH Physician Services Inc | Family Medicine | Current | Accepting new patients |
| Hni Medical Services of Florida, LLC | Family Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of West Virginia-Wheeling, PLLC | Current | Accepting new patients | |
| Cogent Healthcare of Georgia PC | Family Medicine | Current | Accepting new patients |
Locations
900 N Robert Ave
Arcadia, FL 34266
Phone (863) 494-8426
13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000
1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414
8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757
1921 Waldemere St
Ste 307
Sarasota, FL 34239
Phone (941) 917-8565
1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507
5731 Bee Ridge Rd
Sarasota, FL 34233
Phone (888) 221-2216
1170 Cleveland Ave
East Point, GA 30344
Phone (404) 305-3500
367 Clear Creek Pkwy
Lavonia, GA 30553
Phone (706) 356-7800
5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674
8260 Atlee Rd
Mechanicsvlle, VA 23116
Phone (804) 264-6000
759 S Main St
Woodstock, VA 22664
Phone (540) 459-1100
2500 Hospital Dr
Martinsburg, WV 25401
Phone (304) 233-4134
4605 Maccorkle Ave SW
South Charleston, WV 25309
Phone (304) 414-4800
2000 Eoff St
Wheeling, WV 26003
Phone (304) 234-0123
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 9
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.
-
- Internal Medicine Physician
- Macon, GA
- NPI 1609827823
Family Medicine
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1679048284
Family Medicine
-
- Internal Medicine Physician
- Fredericksburg, VA
- NPI 1447577572
-
- Internal Medicine Physician
- Winchester, VA
- NPI 1770756991
Family Medicine
-
- Internal Medicine Physician
- South Charleston, WV
- NPI 1386122844
-
- Internal Medicine Physician
- Wheeling, WV
- NPI 1649575101
Family Medicine
-
- Emergency Medicine Physician
- Oklahoma City, OK
- NPI 1447784988
GA
-
- Internal Medicine Physician
- Wheeling, WV
- NPI 1568940187
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Sarasota, FL
- NPI 1013915149
-
- General Acute Care Hospital
- North Venice, FL
- NPI 1013534445
-
- General Acute Care Hospital
- Sarasota, FL
- NPI 1245294826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636588800000",
"number": "1447558614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 947407",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303947407",
"telephone_number": "941-917-2600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 E MAIN ST",
"city": "BAY SHORE",
"state": "NY",
"postal_code": "117068408",
"telephone_number": "631-968-3000"
}
],
"practiceLocations": [
{
"address_1": "1700 S Tamiami Trl",
"address_purpose": "LOCATION",
"city": "Sarasota",
"state": "FL",
"postal_code": "34239",
"country_code": "US",
"telephone_number": "941-917-4896",
"fax_number": "941-917-6884",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MISTRY",
"first_name": "SHREYAS",
"middle_name": "SURESHBHAI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-11",
"last_updated": "2021-11-11",
"certification_date": "2021-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME122478",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101257804",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bay Shore, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; 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.