NPIMap

Individual provider Active NPI

Hani Laoiz Shahata, MD

  • Nephrology Physician
  • Schenectady, NY
National Provider Identifier
1568549525
Registry record updated Jan 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
242021 Issued in NY
Practice address
2125 River Rd
Suite 303
Schenectady, NY 12309-1135
Phone
(518) 831-2500
Fax
(518) 831-2510
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 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 242021 NY
Nephrology Physician 207RN0300X 242021 NY Primary

Addresses

Primary practice location

2125 River Rd
Suite 303
Schenectady, NY 12309-1135

Mailing address

711 Troy Schenectady Rd Ste 203
Latham, NY 12110-2461
Phone (518) 782-3700

Other identifiers 7

IdentifierTypeStateIssuer
001RZ1OtherNYEMPIRE BLUECROSS
110625000012OtherNYFIDELIS
308712OtherNYSENIOR WHOLE HEALTH
02995513MedicaidNY
649058OtherNYGHI-HMO
9418120OtherNYAETNA
02831776MedicaidNY

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
I20070613000116 NY Practitioner - NephrologyPractitioner - Internal Medicine 0648378760 Reassigns benefits to 1 organization
Practice locations: Amsterdam, NY

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Care Physicians PLLCGroup PAC ID 8022904473, 361 clinicians

Practice addresses (Care Compare)

2125 River Rd
Suite 303
Schenectady, NY 12309-1136
Phone (518) 831-2500

Hospital & facility affiliations

  • Rotterdam-Schenectady Dialysis Center Dialysis facility, Schenectady, NY, CCN 332740
  • Ellis Hospital Hospital, Schenectady, NY, CCN 330153
  • Sunnyview Hospital and Rehabilitation Center Hospital, Schenectady, NY, CCN 330406
  • St Peter'S Hospital Hospital, Albany, NY, CCN 330057
  • Albany Medical Center Hospital Hospital, Albany, NY, CCN 330013
  • St Marys Healthcare Hospital, Amsterdam, NY, CCN 330047

Merit-based Incentive Payment System (MIPS)

Final score
92.35 of 100Reported as group
Quality
98.76
Improvement activities
40
Cost
76.76

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
242021NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Physicians, PLLC Internal Medicine CurrentSince Nov 1, 2017 Accepting new patients
Community Care Physicians, PLLC Past Accepting new patients
Community Care Physicians, PC Internal Medicine Past Accepting new patients

Locations

501 New Karner Rd
Ste 1A
Albany, NY 12205
Phone (518) 452-1337

20 Prospect St
Ste 106
Ballston Spa, NY 12020
Phone (518) 855-3755

711 Troy Schenectady Rd
Ste 210
Latham, NY 12110

6 Wellness Way
Ste 201
Latham, NY 12110
Phone (518) 782-3900

711 Troy Schenectady Rd
Ste 203
Latham, NY 12110
Phone (518) 782-3742

2125 River Rd
Ste 303A
Schenectady, NY 12309

3732 Carman Rd
Schenectady, NY 12303
Phone (518) 356-4132

2125 River Rd
Ste 303
Schenectady, NY 12309
Phone (518) 382-8350

Interoperability endpoints

  • Direct secure messaging: hshahata834701@direct.trinity-health.org
  • Direct secure messaging: hanishahata@ccp.allscriptsdirect.net

Organizations & group practices 3

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 10

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516233600000",
    "number": "1568549525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 TROY SCHENECTADY RD STE 203",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102461",
            "telephone_number": "518-782-3700",
            "fax_number": "518-782-3799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 RIVER RD",
            "address_2": "SUITE 303",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123091135",
            "telephone_number": "518-831-2500",
            "fax_number": "518-831-2510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHATA",
        "first_name": "HANI",
        "middle_name": "LAOIZ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2018-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "242021",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "242021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUECROSS",
            "identifier": "001RZ1",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "110625000012",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENIOR WHOLE HEALTH",
            "identifier": "308712",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02995513",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI-HMO",
            "identifier": "649058",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9418120",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02831776",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Schenectady, NY

Sources for this page

Verify at the official NPI Registry.