Individual provider Active NPI

Nadeem Shahid

  • Family Medicine Physician
  • Mount Vernon, NY
National Provider Identifier
1699110569
Registry record updated Apr 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
272152 Issued in NY
Practice address
105 Stevens Ave
Ste 306
Mount Vernon, NY 10550-2680
Phone
(914) 863-0056
Fax
(914) 863-0146
NPI assigned
May 6, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 272152 NY Primary

Addresses

Primary practice location

105 Stevens Ave
Ste 306
Mount Vernon, NY 10550-2680

Mailing address

105 Stevens Ave
Ste 306
Mount Vernon, NY 10550-2680
Phone (914) 863-0056

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
I20131122000519 NY Practitioner - Family Practice 7517193543 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

105 Stevens Ave
Suite 306
Mount Vernon, NY 10550-2680
Phone (914) 863-0056

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lower Westchester Medical Associates, P.C. CurrentSince Feb 26, 2020 Accepting new patients
Westbrook Medical Associates PC PastSince Jun 1, 2015 Accepting new patients

Locations

105 Stevens Ave
Ste 306
Mount Vernon, NY 10550
Phone (914) 664-3168

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: nadeem.shahid.p1@direct.saintjosephs.nextgenshare.com

Organizations & group practices 2

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": "1367798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587513600000",
    "number": "1699110569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 STEVENS AVE",
            "address_2": "STE 306",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105502680",
            "telephone_number": "914-863-0056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 STEVENS AVE",
            "address_2": "STE 306",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105502680",
            "telephone_number": "914-863-0056",
            "fax_number": "914-863-0146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHID",
        "first_name": "NADEEM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-06",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "272152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, NY

Sources for this page

Verify at the official NPI Registry.