Individual provider Active NPI

Aneil M. Shirke, M.D.

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1679687024
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
214-672 Issued in NY
Practice address
31 Washington SQ W Apt 2R
New York, NY 10011-9172
Phone
(212) 505-5983
Fax
(212) 929-7575
NPI assigned
Aug 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 214-672 NY Primary

Addresses

Primary practice location

31 Washington SQ W Apt 2R
New York, NY 10011-9172

Mailing address

31 Washington SQ W Apt 2R
New York, NY 10011-9172
Phone (212) 505-5983

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040420001180 NY Practitioner - Psychiatry 1052306743 Reassigns benefits to 1 organization
Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Iowa, RJ & L Carver College of Medicine, 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

31 Washington SQ W
Apt 2R
New York, NY 10011-9172
Phone (212) 505-5983

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
214-672NYMDPsychiatry Physician

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1679687024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 WASHINGTON SQ W APT 2R",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100119172",
            "telephone_number": "212-505-5983",
            "fax_number": "212-929-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 WASHINGTON SQ W APT 2R",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100119172",
            "telephone_number": "212-505-5983",
            "fax_number": "212-929-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRKE",
        "first_name": "ANEIL",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "214-672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.