Tushar L Shah, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

219638 Issued in NY

Practice address

2435 Jerome Ave
Bronx, NY 10468-6402

Phone

(718) 220-7677

Fax

(718) 220-7679

NPI assigned

Mar 8, 2006

Last updated

Jan 13, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

Other, 1989

Medicare assignment

May accept Medicare assignment

Group practices

Sheldon Medical Care,PCGroup PAC ID 9537109640, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sheldon Medical Care,PC

  • Internal Medicine Physician
  • Bronx, NY
  • NPI 1013900463
  Medicare reassignment Care Compare group NPD Authorized official
• Sherman Medical Care, PC

  • Internal Medicine Physician
  • New York, NY
  • NPI 1467718247
  NPD (past)
• Emergency Physician Specialists Inc

  • Emergency Medicine Physician
  • Davenport, FL
  • NPI 1912973850
  NPD (past)
• Floyd Valley Healthcare

  • Critical Access Hospital
  • Le Mars, IA
  • NPI 1326109315
  NPD (past)
• Floyd Valley Healthcare

  dba Floyd Valley Clinics

  • Family Medicine Physician
  • Le Mars, IA
  • NPI 1447484472
  NPD (past)

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1548237571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2435 JEROME AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104686464",
            "telephone_number": "718-220-7677",
            "fax_number": "718-220-7679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 JEROME AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104686402",
            "telephone_number": "718-220-7677",
            "fax_number": "718-220-7679"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "651 Academy St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100345003",
            "country_code": "US",
            "telephone_number": "212-569-2035",
            "fax_number": "212-569-2037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "TUSHAR",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "219638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02258964",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sureshchandra Shah, M.D.
• Syed Shah, PT, DPT
• Syed Asim Shah, MD
• Syed Tanveer Taqi Ahmed Shah
• Tejas Shah
• Ujas Harshad Shah, M.D.
• Vairagi Shah, DDS
• Varsha Divecha Shah, DDS
• Vijaykumar C Shah, DDS
• Vinay J Shah, MD

• Internal Medicine Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.

Verify at the official NPI Registry.