Individual provider Active NPI

Shehryar Anjum, M.D.

  • Nephrology Physician
  • Auburn, NY
National Provider Identifier
1669673398
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
319016 Issued in NY
Practice address
77 Nelson St
Suite 240
Auburn, NY 13021-1944
Phone
(315) 567-0390
Fax
(315) 702-8393
NPI assigned
May 30, 2007
Last updated
Dec 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 28253 AL
Internal Medicine Physician 207R00000X MD447427 PA
Internal Medicine Physician 207R00000X 319016 NY
Nephrology Physician 207RN0300X 319016 NY Primary

Addresses

Primary practice location

77 Nelson St
Suite 240
Auburn, NY 13021-1944

Mailing address

17 Lansing St
Auburn, NY 13021-1983
Phone (315) 255-7576

Other identifiers 4

IdentifierTypeStateIssuer
631500073MedicaidAL
319016OtherNYPHYSICIAN LICENSE
51115220OtherALBLUE CROSS
51542516OtherALBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130312000107 PA Practitioner - Internal Medicine 0143312264 Reassigns benefits to 2 organizations
I20230125003084 NY Practitioner - HospitalistPractitioner - Internal MedicinePractitioner - Nephrology 0143312264 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Auburn Memorial Medical Services PCGroup PAC ID 6406931385, 121 clinicians

Practice addresses (Care Compare)

77 Nelson St
Suite 240
Auburn, NY 13021-1944
Phone (315) 567-0700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
73.63 of 100Reported as group
Quality
64.83
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
75.68 of 100Reported as group
Quality
48.88
Promoting interoperability
91
Improvement activities
40
Cost
71.94

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28253ALMDInternal Medicine Physician
319016NYMDInternal Medicine Physician
MD447427PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Auburn Community Hospital CurrentSince Jan 4, 2023 Accepting new patients
Auburn Memorial Medical Services, PC Internal Medicine CurrentSince Jan 4, 2023 Accepting new patients
Auburn Community Hospital Internal Medicine CurrentSince Jan 4, 2023 Accepting new patients
University of Pittsburgh Physicians CurrentSince Apr 25, 2018 Accepting new patients
Auburn Community Hospital Internal Medicine CurrentSince Jan 4, 2023 Accepting new patients
Fayette Physician Network Inc CurrentSince Dec 12, 2018 Accepting new patients
Auburn Memorial Medical Services, PC CurrentSince Jan 4, 2023 Accepting new patients
St. Luke's Physician Group, Inc. CurrentSince Sep 19, 2016 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Kidney Care Centers Nephrology CurrentSince Feb 1, 2024 Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
St Luke's Physician Group Inc CurrentSince Sep 19, 2016 Accepting new patients
Apogee Medical Group, New York, PC Internal Medicine CurrentSince Nov 30, 2022 Accepting new patients
University of Pittsburgh Physicians CurrentSince Apr 25, 2018 Accepting new patients
Fayette Physician Network Inc Internal Medicine CurrentSince Dec 12, 2018 Accepting new patients
Inpatient Consultants of Alabama, Inc Internal Medicine Past Accepting new patients

Locations

15059 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254
Phone (602) 778-3601

1617 Route 88 W
Ste 101
Brick, NJ 08724
Phone (732) 458-1903

17 Lansing St
Ste 201
Auburn, NY 13021
Phone (315) 252-7434

17 Lansing St
Ste 202
Auburn, NY 13021
Phone (315) 567-0390

77 Nelson St
Ste 120
Auburn, NY 13021
Phone (315) 252-7550

77 Nelson St
Ste 240
Auburn, NY 13021
Phone (315) 252-0810

462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612

515 Main St
Olean, NY 14760
Phone (716) 373-2600

17 Lansing St
Sennett, NY 13021
Phone (315) 255-7011

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

1 Nolte Dr
Kittanning, PA 16201
Phone (724) 543-8109

1211 Wilmington Ave
New Castle, PA 16105
Phone (724) 656-4082

2 Hot Metal St
Fl 3
Pittsburgh, PA 15203
Phone (412) 432-5869

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

201 Mary Higginson Ln
Uniontown, PA 15401
Phone (724) 430-5940

500 W Berkeley St
Uniontown, PA 15401
Phone (724) 430-5000

Interoperability endpoints

  • Direct secure messaging: dranjum@amms.medentdirect.com

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 3

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": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1669673398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 LANSING ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130211983",
            "telephone_number": "315-255-7576",
            "fax_number": "315-702-8393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 NELSON ST",
            "address_2": "SUITE 240",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130211944",
            "telephone_number": "315-567-0390",
            "fax_number": "315-702-8393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANJUM",
        "first_name": "SHEHRYAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-30",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "28253",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD447427",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "319016",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "319016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "631500073",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN LICENSE",
            "identifier": "319016",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51115220",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51542516",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, NY

Sources for this page

Verify at the official NPI Registry.