Individual provider Active NPI

Nida Shuttari, MD

  • Internal Medicine Physician
  • North Falmouth, MA
National Provider Identifier
1720649882
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
LP04766 Issued in RI
Practice address
33 Edgerton Dr Ste C
North Falmouth, MA 02556-2821
Phone
(774) 552-3211
Fax
(508) 771-9555
NPI assigned
Jun 27, 2019
Sex
Female
Sole proprietor
Yes

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 and National Provider Directory roles.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Affiliates of Cape Cod Inc 237 clinicians

Practice addresses (Care Compare)

33 Edgerton Dr
North Falmouth, MA 02556-2821
Phone (774) 552-3211

Hospital & facility affiliations

  • Vna of Cape Cod Home health agency, South Dennis, MA, CCN 227067
  • Bayada Home Health Care , Inc Home health agency, Hyannis, MA, CCN 227466
  • Caretenders Home health agency, Needham Heights, MA, CCN 227269
  • Visiting Nurse Association of Cape Cod Hospice Hospice, Hyannis, MA, CCN 221554
  • Falmouth Hospital Hospital, Falmouth, MA, CCN 220135
  • Cape Cod Hospital Hospital, Hyannis, MA, CCN 220012
  • Spaulding Rehabilitation Hospital - Cape Cod Inpatient rehabilitation facility, East Sandwich, MA, CCN 223032

Merit-based Incentive Payment System (MIPS)

Final score
76.23 of 100Reported as group
Quality
56.78
Promoting interoperability
100
Improvement activities
40

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20241211001459 MA Practitioner - Internal Medicine 2567797525 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LP04766RIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Affiliates of Cape Cod, Inc. Internal Medicine CurrentSince Nov 11, 2024 Accepting new patients
Medical Affiliates of Cape Cod, Inc. CurrentSince Nov 11, 2024 Accepting new patients
Henry Heywood Memorial Hospital Past Accepting new patients

Locations

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

33 Edgerton Dr
North Falmouth, MA 02556
Phone (774) 552-3211

33 Edgerton Dr
Ste C
North Falmouth, MA 02556
Phone (774) 552-3211

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X LP04766 RI Primary

Addresses

NPPES NPI Registry

Primary practice location

33 Edgerton Dr Ste C
North Falmouth, MA 02556-2821

Mailing address

825 Chalkstone Ave
Providence, RI 02908-4728

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 19, 2026.

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1720649882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 CHALKSTONE AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029084728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 EDGERTON DR STE C",
            "city": "NORTH FALMOUTH",
            "state": "MA",
            "postal_code": "025562821",
            "telephone_number": "774-552-3211",
            "fax_number": "508-771-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUTTARI",
        "first_name": "NIDA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-27",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "LP04766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Falmouth, MA

Sources for this page

Verify at the official NPI Registry.