Active NPI
Adil Shujaat, MD
- Pulmonary Disease Physician
- New York, NY
National Provider Identifier
1730234147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 267902
- Practice address
- 36 West 60TH Street
Ground Floor
New York, NY 10023-2698 - Phone
- (212) 523-8672
- Fax
- (212) 265-3416
- NPI assigned
- Jan 24, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 267902 | NY | |
| Pulmonary Disease Physician | 207RP1001X | 267902 | NY | Primary |
Addresses
Primary practice location
36 West 60TH Street
Ground Floor
New York, NY 10023-2698
Mailing address
150 E 42ND St FL 9
New York, NY 10017-5699
Phone (646) 605-8188
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04190534 | Medicaid | NY | |
| 323968531A | Medicaid | GA | |
| 19546 | Other | MS | LICENSE |
| 0018663-00 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 267902 | NY | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icahn School of Medicine at Mount Sinai | Critical Care Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Infectious Disease Physician
- New York, NY
- NPI 1659639524
Critical Care Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557792000000",
"number": "1730234147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 E 42ND ST FL 9",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100175699",
"telephone_number": "646-605-8188",
"fax_number": "212-523-7410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 WEST 60TH STREET",
"address_2": "GROUND FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100232698",
"telephone_number": "212-523-8672",
"fax_number": "212-265-3416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHUJAAT",
"first_name": "ADIL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-24",
"last_updated": "2019-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "NY",
"license": "267902",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NY",
"license": "267902",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04190534",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "323968531A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "19546",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0018663-00",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.