Individual provider Active NPI

Shah Ashfaq, M.D.

  • Emergency Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1578820726
Registry record updated Jul 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
2778961 Issued in NY
Practice address
4802 10TH Ave
Maimonides Medical Center
Brooklyn, NY 11219
Phone
(516) 606-4651
NPI assigned
Apr 12, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2778961 NY Primary

Addresses

Primary practice location

4802 10TH Ave
Maimonides Medical Center
Brooklyn, NY 11219

Mailing address

182 15TH St
Apt 2F
Brooklyn, NY 11215-6734
Phone (516) 606-4651

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20170516002257 TX Practitioner - Emergency Medicine 1355652090 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Kentucky College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jasper Emergency Physicians PLLCGroup PAC ID 9133573983, 58 clinicians
Jefferson Emergency Physicians PLLCGroup PAC ID 4880048560, 94 clinicians

Practice addresses (Care Compare)

1275 Marvin Hancock Dr
Jasper, TX 75951-4935
Phone (409) 384-5461

8801 9TH Ave
Port Arthur, TX 77642-8013
Phone (409) 899-7187

Hospital & facility affiliations

  • Christus Southeast Texas- St Elizabeth Hospital, Beaumont, TX, CCN 450034
  • Christus Jasper Memorial Hospital Hospital, Jasper, TX, CCN 450573

Merit-based Incentive Payment System (MIPS)

Final score
78.92 of 100Reported as group
Quality
71.67
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2778961NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beaumont Emergency Medicine Associates PLLC CurrentSince Jul 1, 2018 Accepting new patients
Sound Physicians Emergency Medicine of Texas PLLC Emergency Medicine CurrentSince Feb 15, 2018 Accepting new patients
Jasper Emergency Medicine Associates PA Emergency Medicine CurrentSince Sep 11, 2021 Accepting new patients
Jefferson Emergency Medicine Associates PA Emergency Medicine CurrentSince May 12, 2021 Accepting new patients
Jasper Emergency Physicians, PLLC Emergency Medicine CurrentSince Sep 1, 2023 Accepting new patients
Southeast Emergency Medicine Associates, PA Emergency Medicine CurrentSince Apr 22, 2021 Accepting new patients
Jefferson Emergency Physicians, PLLC Emergency Medicine CurrentSince Sep 1, 2023 Accepting new patients

Locations

3080 College St
Beaumont, TX 77701
Phone (409) 212-5000

2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000

1275 Marvin Hancock Dr
Jasper, TX 75951
Phone (409) 384-1951

8801 9th Ave
Port Arthur, TX 77642
Phone (409) 299-3214

3600 Gates Blvd
Port Arthur, TX 77642
Phone (409) 985-7431

Organizations & group practices 7

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 2

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": "1334188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435708800000",
    "number": "1578820726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 15TH ST",
            "address_2": "APT 2F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112156734",
            "telephone_number": "516-606-4651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4802 10TH AVE",
            "address_2": "MAIMONIDES MEDICAL CENTER",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11219",
            "telephone_number": "516-606-4651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHFAQ",
        "first_name": "SHAH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-12",
        "last_updated": "2015-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "2778961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.