Active NPI
Shah Ashfaq, M.D.
- Emergency Medicine Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 2778961
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
- Christus Jasper Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.92 of 100
- Quality
- 71.67
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2778961 | NY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaumont Emergency Medicine Associates PLLC | Current | Accepting new patients | |
| Sound Physicians Emergency Medicine of Texas PLLC | Emergency Medicine | Current | Accepting new patients |
| Jasper Emergency Medicine Associates PA | Emergency Medicine | Current | Accepting new patients |
| Jefferson Emergency Medicine Associates PA | Emergency Medicine | Current | Accepting new patients |
| Jasper Emergency Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| Southeast Emergency Medicine Associates, PA | Emergency Medicine | Current | Accepting new patients |
| Jefferson Emergency Physicians, PLLC | Emergency Medicine | Current | 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.
-
- Emergency Medicine Physician
- Jasper, TX
- NPI 1922781970
-
- Emergency Medicine Physician
- Beaumont, TX
- NPI 1609559699
-
- Emergency Medical Services (Emergency Medicine) Physician
- Beaumont, TX
- NPI 1881716983
-
- Emergency Medicine Physician
- Killeen, TX
- NPI 1518475557
-
- Emergency Medicine Physician
- Jasper, TX
- NPI 1346442746
-
- Emergency Medicine Physician
- Beaumont, TX
- NPI 1497966949
-
- Emergency Medicine Physician
- Port Arthur, TX
- NPI 1831781491
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Jasper, TX
- NPI 1598749707
-
- General Acute Care Hospital
- Beaumont, TX
- NPI 1679557888
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; 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.