Individual provider Active NPI

Shashishekhar Palekar, MD

  • Family Medicine Physician
  • Harrison, NY
National Provider Identifier
1508854829
Registry record updated Oct 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
209639 Issued in NY
Practice address
84 Calvert St
Harrison, NY 10528-3200
Phone
(914) 835-0073
Fax
(914) 835-1071
NPI assigned
Oct 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 209639 NY Primary

Addresses

Primary practice location

84 Calvert St
Harrison, NY 10528-3200

Mailing address

84 Calvert St
Harrison, NY 10528-3200
Phone (914) 835-0073

Other identifiers 1

IdentifierTypeStateIssuer
01903951MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080424000727 NY Practitioner - Family Practice 7810075264 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palekar Family Medical Services PCGroup PAC ID 1759273139, 9 clinicians

Practice addresses (Care Compare)

41 E Post Rd
White Plains, NY 10601-4607
Phone (914) 681-0600

550 Mamaroneck Ave
Suite 410
Harrison, NY 10528-1614
Phone (914) 381-2996

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209639NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Palekar Family Medical Services PC Family Medicine CurrentSince Feb 10, 1999 Accepting new patients
Harrison Physician Services PLLC Family Medicine CurrentSince Feb 17, 2016 Accepting new patients
Jewish Home Lifecare Sarah Neuman Center Westchester Past Accepting new patients
HHH Acquisition LLC Past Accepting new patients
Optima Care White Plains LLC Past Accepting new patients

Locations

550 Mamaroneck Ave
Ste 410
Harrison, NY 10528
Phone (914) 381-2996

84 Calvert St
Harrison, NY 10528
Phone (914) 835-0073

106 Calvert St
Harrison, NY 10528
Phone (914) 835-0073

845 Palmer Ave
Mamaroneck, NY 10543
Phone (914) 357-0795

61 Grasslands Rd
Valhalla, NY 10595
Phone (914) 681-8400

41 E Post Rd
White Plains, NY 10601
Phone (914) 681-1201

220 W Post Rd
White Plains, NY 10606
Phone (914) 686-8880

Networks

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

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
The Grove at Valhalla Rehabilitation and Nursing CenterValhalla, NY, CCN 335809 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Dec 29, 2023
Dec 29, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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 7

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": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223942400000",
    "number": "1508854829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 CALVERT ST",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "105283200",
            "telephone_number": "914-835-0073",
            "fax_number": "914-835-1071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 CALVERT ST",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "105283200",
            "telephone_number": "914-835-0073",
            "fax_number": "914-835-1071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALEKAR",
        "first_name": "SHASHISHEKHAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2008-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "209639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01903951",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, NY

Sources for this page

Verify at the official NPI Registry.