NPIMap

Individual provider Active NPI

Anita Chatlani Shah, MD

  • Internal Medicine Physician
  • West Nyack, NY
National Provider Identifier
1477547446
Registry record updated Jan 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2156351 Issued in NY
Practice address
2 Crosfield Ave
Ste 318
West Nyack, NY 10994-2226
Phone
(845) 353-5600
Fax
(845) 353-5668
NPI assigned
Sep 7, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2156351 NY Primary

Addresses

Primary practice location

2 Crosfield Ave
Ste 318
West Nyack, NY 10994-2226

Mailing address

20 Grand Street
3Rd Floor
Warwick, NY 10990-1035
Phone (845) 353-5600

Other identifiers 18

IdentifierTypeStateIssuer
132995699OtherHUDSON HEALTH PLAN
132995699OtherMAGNACARE
215635OtherLICENSE NUMBER
015AE1OtherBC BS EMPIRE
02200755MedicaidNY
0D2175OtherHEALTHNET OF THE NORTH EA
132995699OtherHEALTH NOW
132995699OtherHORIZON HEALTHCARE OF NY
2594362OtherGHI
0057864OtherGHI HMO
45022POtherHIP
132995699OtherINDECS
040426012111OtherFIDELIS MEDICAID HMO
0890100002OtherCIGNA HMO POS
132995699OtherBEECH STREET NETWORK
132995699OtherLOCAL 1199
132995699OtherCIGNA PPO
132995699OtherFAM HEALTH PLUS HUDSON HP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101019001004 NY Practitioner - Internal Medicine 8325231616 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Albert Einstein College of Medicine of Yeshiva University, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bon Secours Charity Health System Medical Group, P.C.Group PAC ID 1658262084, 157 clinicians

Practice addresses (Care Compare)

2 Crosfield Ave
West Nyack, NY 10994-2226
Phone (845) 353-5600

Hospital & facility affiliations

  • Americare Certified Special Services, Inc Chha Home health agency, Brooklyn, NY, CCN 337290
  • Montefiore Nyack Hospital Home Health Agency Home health agency, New City, NY, CCN 337168
  • Revival Home Health Care Home health agency, Staten Island, NY, CCN 337299
  • Good Samaritan Hospital of Suffern Hospital, Suffern, NY, CCN 330158
  • Nyack Hospital Hospital, Nyack, NY, CCN 330104

Merit-based Incentive Payment System (MIPS)

Final score
96.73 of 100Reported as apm
Quality
87.82
Promoting interoperability
92
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2156351NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours Charity Health System Medical Group, P.C. Internal Medicine CurrentSince Mar 1, 2011 Accepting new patients
Rockland Pulmonary and Medical Associates, PC Internal Medicine Current Accepting new patients

Locations

20 Grand St
Fl 3
Warwick, NY 10990
Phone (845) 987-3901

2 Crosfield Ave
West Nyack, NY 10994
Phone (212) 725-8511

2 Crosfield Ave
Ste 318
West Nyack, NY 10994
Phone (845) 353-5600

Networks

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

Organizations & group practices 2

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546473600000",
    "number": "1477547446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 GRAND STREET",
            "address_2": "3RD FLOOR",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109901035",
            "telephone_number": "845-353-5600",
            "fax_number": "845-987-5979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CROSFIELD AVE",
            "address_2": "STE 318",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "109942226",
            "telephone_number": "845-353-5600",
            "fax_number": "845-353-5668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "ANITA",
        "middle_name": "CHATLANI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-07",
        "last_updated": "2019-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "2156351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUDSON HEALTH PLAN",
            "identifier": "132995699",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGNACARE",
            "identifier": "132995699",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "215635",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS EMPIRE",
            "identifier": "015AE1",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02200755",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET OF THE NORTH EA",
            "identifier": "0D2175",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NOW",
            "identifier": "132995699",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON HEALTHCARE OF NY",
            "identifier": "132995699",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "2594362",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI HMO",
            "identifier": "0057864",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "45022P",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDECS",
            "identifier": "132995699",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS MEDICAID HMO",
            "identifier": "040426012111",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HMO POS",
            "identifier": "0890100002",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEECH STREET NETWORK",
            "identifier": "132995699",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOCAL 1199",
            "identifier": "132995699",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PPO",
            "identifier": "132995699",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAM HEALTH PLUS HUDSON HP",
            "identifier": "132995699",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Nyack, NY

Sources for this page

Verify at the official NPI Registry.