Individual provider Active NPI

Trusha Narendra Shah, M.D.

  • Interventional Pain Medicine Physician
  • Lake Success, NY
National Provider Identifier
1699099036
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
255464 Issued in NY
Practice address
2800 Marcus Ave
Lake Success, NY 11042
Phone
(516) 622-6000
NPI assigned
Mar 14, 2010
Last updated
Aug 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 255464 NY
Interventional Pain Medicine Physician 208VP0014X 255464 NY Primary

Addresses

Primary practice location

2800 Marcus Ave
Lake Success, NY 11042

Mailing address

2800 Marcus Ave
New Hyde Park, NY 11042-1113
Phone (516) 622-6000

Other identifiers 1

IdentifierTypeStateIssuer
03389195MedicaidNY

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
I20131015000631 NY Practitioner - Anesthesiology 0345413969 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Trusha Shah MD PCGroup PAC ID 3375956204, 2 clinicians

Practice addresses (Care Compare)

4273 Hempstead Tpke
Bethpage, NY 11714-5710
Phone (516) 605-0600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.36 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
74.53

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
255464NYMDSchool Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Long Island Medical Interventional Services PLLC Anesthesiology CurrentSince Jul 14, 2021 Accepting new patients
Trusha Shah MD PC CurrentSince Nov 1, 2020 Accepting new patients
Optum Urgent Care, PLLC Past Accepting new patients
New York Cardiovascular Anesthesiologists, P.C. Anesthesiology Past Accepting new patients
Pain Therapy Specialists PLLC Past Accepting new patients

Locations

4273 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 579-5800

1000 Northern Blvd
Ste 175
Great Neck, NY 11021
Phone (516) 439-5223

50 Station Rd
Bldg 7
Water Mill, NY 11976
Phone (516) 605-0600

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1268524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1699099036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 MARCUS AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421113",
            "telephone_number": "516-622-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 MARCUS AVE",
            "city": "LAKE SUCCESS",
            "state": "NY",
            "postal_code": "11042",
            "telephone_number": "516-622-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "TRUSHA",
        "middle_name": "NARENDRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-14",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "255464",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NY",
            "license": "255464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03389195",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Success, NY

Sources for this page

Verify at the official NPI Registry.