Individual provider Active NPI

David S Shenker, M.D.

  • Internal Medicine Physician
  • Ware, MA
National Provider Identifier
1538250873
Registry record updated Feb 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
151815 Issued in MA
Practice address
85 South St
Ware, MA 01082-1625
Phone
(413) 967-2275
Fax
(413) 967-2594
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 151815 MA Primary
Emergency Medicine Physician 207P00000X 151815 MA

Addresses

Primary practice location

85 South St
Ware, MA 01082-1625

Mailing address

280 Chestnut Street
2ND FL
Springfield, MA 01199-1001
Phone (413) 794-5700

Other practice location 1

85 South St
Ware, MA 01082-1625
Phone (413) 967-2275

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
I20070521000328 NY Practitioner - Emergency MedicinePractitioner - Internal Medicine 3476561796 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Internal Medicine
Education
State University of New York Downstate Medical Center, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

68 E 161St St
Bronx, NY 10451-2207
Phone (718) 571-9139

Merit-based Incentive Payment System (MIPS)

Final score
86.33 of 100Reported as group
Quality
82.1
Promoting interoperability
100
Improvement activities
40
Cost
72.34

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Port City Emergency Physicians LLP Emergency Medicine CurrentSince Oct 1, 2012 Accepting new patients
City Medical of Upper East Side, PLLC Current Accepting new patients
Port City Emergency Physicians LLP Emergency Medicine CurrentSince Oct 1, 2012 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Dec 26, 2018 Accepting new patients
Emergency Care Services of New York, P.C. Emergency Medicine CurrentSince Jun 24, 2013 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Dec 26, 2018 Accepting new patients
Emergency Medicine Solutions, LLC Emergency Medicine Past Accepting new patients
Northeast Emergency Medicine Specialists, LLC Emergency Medicine Past Accepting new patients
Utica Emergency Physicians, PC Emergency Medicine Past Accepting new patients
Saint Vincent Physician Services, Inc. Internal Medicine PastSince Aug 17, 2010 Accepting new patients

Locations

3111 Steinway St
Astoria, NY 11103
Phone (718) 475-2345

68 E 161st St
Bronx, NY 10451
Phone (718) 571-9139

336 E 86th St
New York, NY 10028
Phone (212) 772-3627

321 Genesee St
Oneida, NY 13421
Phone (315) 361-2020

110 W 6th St
Oswego, NY 13126
Phone (315) 349-5511

1345 Rxr Plz
Fl 13
Uniondale, NY 11556
Phone (516) 453-0435

Interoperability endpoints

  • Direct secure messaging: david.shenker.1@2983.direct.athenahealth.com

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518048000000",
    "number": "1538250873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 CHESTNUT STREET",
            "address_2": "2ND FL",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011991001",
            "telephone_number": "413-794-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 SOUTH ST",
            "city": "WARE",
            "state": "MA",
            "postal_code": "010821625",
            "telephone_number": "413-967-2275",
            "fax_number": "413-967-2594"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "85 South St",
            "address_purpose": "LOCATION",
            "city": "Ware",
            "state": "MA",
            "postal_code": "010821625",
            "country_code": "US",
            "telephone_number": "413-967-2275",
            "fax_number": "413-967-2594",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHENKER",
        "first_name": "DAVID",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2018-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "151815",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "151815",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ware, MA

Sources for this page

Verify at the official NPI Registry.