Active NPI
Sumera Shah, MD
- Adult Medicine Physician
- Niagara Falls, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- 256681
- Practice address
- 621 10TH St
Niagara Falls Memorial Medical Center
Niagara Falls, NY 14301-1813 - Phone
- (716) 278-4000
- NPI assigned
- May 12, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | 256681 | NY | Primary |
Addresses
Primary practice location
621 10TH St
Niagara Falls Memorial Medical Center
Niagara Falls, NY 14301-1813
Mailing address
PO Box 1708
Amherst, NY 14226-7708
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03236808 | Medicaid | NY |
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: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 256681 | NY | MD | Adult Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Buffalo Medical Care PC | Current | Accepting new patients | |
| Niagara Falls Memorial Medical Center | Current | Accepting new patients | |
| Wny Medical PC | Current | Accepting new patients | |
| Latina Medical Office, P.C. | Current | Accepting new patients | |
| Supportive Medical Partners, PLLC | Current | Accepting new patients | |
| Niagara Falls Memorial Medical Center | Current | Accepting new patients |
Locations
188 Dahill Rd
Ste A
Brooklyn, NY 11218
Phone (646) 752-7058
4979 Harlem Rd
Buffalo, NY 14226
Phone (716) 923-4380
100 High St
Buffalo, NY 14203
Phone (716) 632-3700
620 10th St
Ste 704
Niagara Falls, NY 14301
Phone (716) 278-4402
621 10th St
North Falls, NY 14301
Phone (716) 278-4000
908 Niagara Falls Blvd
Ste 208
North Tonawanda, NY 14120
Phone (716) 649-1613
3 Upton Park
Rochester, NY 14607
Phone (585) 241-2100
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/3c975af8-28ae-4d97-adec-66228015b5a8/
Organizations & group practices 6
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.
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-
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- NPI 1659338184
-
- Internal Medicine Physician
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- NPI 1154421246
-
- Internal Medicine Physician
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- NPI 1013660471
-
- Oncology Clinic/Center
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- NPI 1144842816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297728000000",
"number": "1467770636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1708",
"city": "AMHERST",
"state": "NY",
"postal_code": "142267708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 10TH ST",
"address_2": "NIAGARA FALLS MEMORIAL MEDICAL CENTER",
"city": "NIAGARA FALLS",
"state": "NY",
"postal_code": "143011813",
"telephone_number": "716-278-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "SUMERA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-12",
"last_updated": "2011-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "NY",
"license": "256681",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03236808",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Niagara Falls, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2011; 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.