Individual provider Active NPI

Shuriz Hishmeh, MD, PT

  • Orthopaedic Surgery of the Spine Physician
  • Syosset, NY
National Provider Identifier
1740373133
Registry record updated Aug 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
251603-1 Issued in NY
Practice address
175 Jericho Tpke
Suite
Syosset, NY 11791-4532
Phone
(516) 730-5042
NPI assigned
Sep 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 251603-1 NY
Orthopedic Physical Therapist 2251X0800X 015519 NY
Orthopaedic Surgery of the Spine Physician 207XS0117X 251603-1 NY Primary

Addresses

Primary practice location

175 Jericho Tpke
Suite
Syosset, NY 11791-4532

Mailing address

26 Lucille LN
Dix Hills, NY 11746-5810
Phone (516) 730-5042

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
I20090805000184 NY Practitioner - Orthopedic Surgery 1456242890

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
251603-1NYMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
W. Hempstead Physical Therapy Past Accepting new patients
Physical Therapy Services, P.C. PastSince May 22, 2024 Accepting new patients
135 Woodfield Road Medical Services, PLLC Past Accepting new patients
VA Dentistry PC Past Accepting new patients
University Associates in Obstetrics & Gynecology, University Faculty P Past Accepting new patients
Mid-Nassau PT Orthopedic PastSince Aug 18, 2003 Accepting new patients
Adriatic Physical Therapy Past Accepting new patients
Stony Brook Orthopaedic Associates, University Faculty Practice Corpor Orthopaedic Surgery PastSince Jun 18, 2012 Accepting new patients

Organizations & group practices 8

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": "1159574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661040000000",
    "number": "1740373133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 LUCILLE LN",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117465810",
            "telephone_number": "516-730-5042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 JERICHO TPKE",
            "address_2": "SUITE",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117914532",
            "telephone_number": "516-730-5042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HISHMEH",
        "first_name": "SHURIZ",
        "name_prefix": "Dr.",
        "credential": "MD, PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-30",
        "last_updated": "2022-08-21",
        "certification_date": "2022-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "251603-1",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "015519",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NY",
            "license": "251603-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syosset, NY

Sources for this page

Verify at the official NPI Registry.