Shantell Kargbeh, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

215 E State St
Ithaca, NY 14850-5547

Phone

(302) 670-0063

NPI assigned

Nov 30, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, MD2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Comprehensive Primary Care and Associates LLCGroup PAC ID 5092991984, 167 clinicians

University of Maryland Physicians PAGroup PAC ID 2769394808, 395 clinicians

Capital Healthcare PCGroup PAC ID 3779723309, 102 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University of Maryland Medical Center Hospital, Baltimore, MD, CCN 210002

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shantell.kargbeh.1@15482.direct.athenahealth.com

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.

• Capital Healthcare PC

  • Primary Care Clinic/Center
  • Alexandria, VA
  • NPI 1811239627

  DC, MD

  Medicare reassignment Care Compare group
• Comprehensive Primary Care and Associates LLC

  • Internal Medicine Physician
  • Rockville, MD
  • NPI 1831492586

  DC, MD

  Medicare reassignment Care Compare group
• University of Maryland Physicians P.a.

  • Cardiovascular Disease Physician
  • Baltimore, MD
  • NPI 1689623175

  MD

  Medicare reassignment Care Compare group
• Doctors First, LLC

  • Internal Medicine Physician
  • Germantown, MD
  • NPI 1912160458

  DC

  Medicare reassignment
• University of Maryland Physicians PA

  • Gastroenterology Physician
  • Baltimore, MD
  • NPI 1548210156
  Care Compare group
• Doctors First, LLC

  • Internal Medicine Physician
  • Columbia, MD
  • NPI 1053077263
  NPD
• University of Maryland Physicians P.a.

  • Gastroenterology Physician
  • Largo, MD
  • NPI 1619860194
  NPD
• University of Maryland Physicians, P.a.

  • Internal Medicine Physician
  • Baltimore, MD
  • NPI 1104877075
  NPD
• Capital Healthcare PC Dba Allcare

  • Family Medicine Physician
  • Woodbridge, VA
  • NPI 1407162076
  NPD (past)

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

• University of Maryland Medical Center, LLC

  • General Acute Care Hospital
  • Baltimore, MD
  • NPI 1174660120

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1701302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1750157616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 E STATE ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148505547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E STATE ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148505547",
            "telephone_number": "302-670-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARGBEH",
        "first_name": "SHANTELL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-30",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert B Kaplan, D.P.T
• Nancy Katherine Kaproth, R.N.
• Kristna Kapur, D.D.S.
• Fredric Kardon, MD
• Karen Laface MD PLLC
• Hannah S Karimi
• Bagum Karimullah Gulshad, MSN RN AGNP-C
• Alexandra M Karnow, DO
• Kathryn Marie Karpinski, D.D.S.
• Patricia Marie Karr-Segal, LCSW

• All providers in Ithaca, NY
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.