Suryakant Shah, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

228300-1 Issued in NY

Practice address

1890 Palmer Ave Ste 304
Larchmont, NY 10538-3031

Phone

(914) 834-9606

Fax

(914) 834-0648

NPI assigned

Aug 4, 2005

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Larchmont Family Practice, LLP

  • Family Medicine Physician
  • Larchmont, NY
  • NPI 1801965264
  NPD (past)
• Conemaugh Health Initiatives

  • Plastic Surgery Physician
  • Johnstown, PA
  • NPI 1073516720
  NPD (past)
• Windber Hospital, Inc.

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

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

{
    "created_epoch": "1123113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337299200000",
    "number": "1629079249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 PALMER AVE STE 304",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "105383031",
            "telephone_number": "914-834-9606",
            "fax_number": "914-834-0648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 PALMER AVE STE 304",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "105383031",
            "telephone_number": "914-834-9606",
            "fax_number": "914-834-0648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SURYAKANT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-04",
        "last_updated": "2012-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "228300-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony James Scisci
• Donna Scuderi Given, M.D.
• Kathy Anne Seckler
• Abigail Sefah
• Esther Jinkyung Seo
• Samir Sidani, M.D.
• Sara M Siegel, PT
• William M Siegel, DPT
• Pamela Sue Silverman, MD
• Jeffrey Eric Simon, D.D.S.

• Family Medicine Physician in Larchmont, NY
• Providers in Larchmont, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.