Individual provider Active NPI

Shaik M. Ubaid, MD

  • Neurology Physician
  • Troy, NY
National Provider Identifier
1720023880
Registry record updated Oct 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
218871 Issued in NY
Practice address
2231 Burdett Ave Ste 280
Troy, NY 12180-2453
Phone
(518) 272-4601
Fax
(518) 272-4600
NPI assigned
Jun 20, 2006
Last updated
Oct 25, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 218871 NY Primary
Psychiatry Physician 2084P0800X 218871 NY

Addresses

Primary practice location

2231 Burdett Ave Ste 280
Troy, NY 12180-2453

Mailing address

2231 Burdett Ave Ste 280
Troy, NY 12180-2453
Phone (518) 272-4601

Other practice location 1

1978 Crompond Rd
Cortlandt Manor, NY 10567-4111
Phone (914) 293-8600

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
I20060915000258 NY Practitioner - NephrologyPractitioner - NeurologyPractitioner - Psychiatry 0042228769 Reassigns benefits to 2 organizations
Practice locations: Troy, NY

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arnot Ogden Medical CenterGroup PAC ID 5395798417, 219 clinicians

Practice addresses (Care Compare)

2231 Burdett Ave
Suite 280
Troy, NY 12180-2453
Phone (518) 272-4601

600 Roe Ave
Elmira, NY 14905-1629
Phone 60773741004118

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arnot Ogden Medical Center CurrentSince Dec 23, 2024 Accepting new patients
Dr. Shaik Ubaid Medical Practice, PLLC Neurology CurrentSince Jun 23, 2021 Accepting new patients
Arnot Ogden Medical Center CurrentSince Dec 23, 2024 Accepting new patients

Locations

600 Ivy St
Ste 206
Elmira, NY 14905
Phone (607) 271-2050

600 Roe Ave
Elmira, NY 14905
Phone (607) 733-3639

600 Roe Ave
Ste 1F
Elmira, NY 14905
Phone (607) 795-8161

100 John Roemmelt Dr
Ste 300
Horseheads, NY 14845
Phone (607) 739-8701

101 Jordan Rd
Ste 202
Troy, NY 12180
Phone (518) 213-0399

2231 Burdett Ave
Ste 280
Troy, NY 12180
Phone (518) 270-9444

Networks

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

Interoperability endpoints

  • Direct secure messaging: subaid3688600@nychhc.direct-ci.com

Organizations & group practices 3

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 4

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": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1720023880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2231 BURDETT AVE STE 280",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121802453",
            "telephone_number": "518-272-4601",
            "fax_number": "518-272-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2231 BURDETT AVE STE 280",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121802453",
            "telephone_number": "518-272-4601",
            "fax_number": "518-272-4600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1978 Crompond Rd",
            "address_purpose": "LOCATION",
            "city": "Cortlandt Manor",
            "state": "NY",
            "postal_code": "105674111",
            "country_code": "US",
            "telephone_number": "914-293-8600",
            "fax_number": "914-293-8606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UBAID",
        "first_name": "SHAIK",
        "middle_name": "M.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "218871",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "218871",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, NY

Sources for this page

Verify at the official NPI Registry.