Atter M Shahid, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

249853 Issued in NY

Practice address

155 Crystal Run Rd
Middletown, NY 10941-4028

Phone

(845) 703-6999

Fax

(845) 703-6297

NPI assigned

Aug 4, 2008

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

Other identifiers 1

Electronic endpoints 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Infinite Medical PC

  • Family Medicine Physician
  • Bristol, RI
  • NPI 1407483175

  NY

  Medicare reassignment NPD
• Montgomery Operating Co LLC

  • Skilled Nursing Facility
  • Montgomery, NY
  • NPI 1336478775
  NPD (past)
• Park Manor Acquisition II LLC

  • Skilled Nursing Facility
  • Middletown, NY
  • NPI 1205166816
  NPD (past)

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1679739189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 CRYSTAL RUN RD",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109414028",
            "telephone_number": "845-703-6999",
            "fax_number": "845-703-6297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 CRYSTAL RUN RD",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109414028",
            "telephone_number": "845-703-6999",
            "fax_number": "845-703-6297"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 Van Duzer Pl",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "NY",
            "postal_code": "109901014",
            "country_code": "US",
            "telephone_number": "845-987-5717",
            "fax_number": "845-987-5719",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "121 Dunning Rd",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "NY",
            "postal_code": "109402243",
            "country_code": "US",
            "telephone_number": "845-343-0801",
            "fax_number": "845-343-0802",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2817 Albany Post Rd",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "NY",
            "postal_code": "125492132",
            "country_code": "US",
            "telephone_number": "845-457-3155",
            "fax_number": "845-457-9036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAHID",
        "first_name": "ATTER",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-04",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "249853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03026015",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "atter.shahidmd.p1@direct.crystalrun.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "155 Crystal Run Rd",
            "city": "Middletown",
            "state": "NY",
            "country_code": "US",
            "postal_code": "109414028",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ashahid30241@direct.garnethealth.org",
            "affiliation": "Y",
            "affiliationName": "Garnet Health Doctors PC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "121 Dunning Rd",
            "city": "Middletown",
            "state": "NY",
            "country_code": "US",
            "postal_code": "109402243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Manan D. Shah, M.D.
• Nasar Ali Shah, MD
• Parthy R Shah, MD
• Raheel Shah
• Romi Shah, M.D.
• Shahla Gorovoy Psychologist PC
• Muhammad Golam R Shaikh, MD
• Sherwin Shaju, DPM
• Zaineb Shamim, MD
• Alhasan Shanti, MD

• Internal Medicine Physician in Middletown, NY
• Providers in Middletown, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.