Individual provider Active NPI

Shahryar Elihu, MD

  • Cardiovascular Disease Physician
  • Great Neck, NY
National Provider Identifier
1750359014
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
225921 Issued in NY
Practice address
320 E Shore Rd
4C
Great Neck, NY 11023-1733
Phone
(516) 902-0270
Fax
(516) 747-4783
NPI assigned
Mar 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 225921 NY Primary

Addresses

Primary practice location

320 E Shore Rd
4C
Great Neck, NY 11023-1733

Mailing address

320 E Shore Rd
4C
Great Neck, NY 11023-1733
Phone (516) 902-0270

Other identifiers 1

IdentifierTypeStateIssuer
02362389MedicaidNY

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
I20031211000044 NY Practitioner - Internal Medicine 1153227061 Practice locations: Manhasset, NY; Melville, NY; Jamaica, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

201 Old Country Rd
Suite 170
Melville, NY 11747-2732
Phone (631) 271-9151

300 Community Dr
Manhasset, NY 11030-3816
Phone (631) 271-9151

Hospital & facility affiliations

  • North Shore Home Care Chha Home health agency, Westbury, NY, CCN 337148
  • North Shore University Hospital Hospital, Manhasset, NY, CCN 330106
  • Long Island Jewish Medical Center Hospital, New Hyde Park, NY, CCN 330195
  • Northwell Health Stern Family Center for Rehabilit Nursing home, Manhasset, NY, CCN 335702

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shahryar Elihu M.D. Past Accepting new patients
Northwell Health Stern Family Center for Rehabilitation Past Accepting new patients
North Shore University Hospital Past Accepting new patients

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 5

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": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750359014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 E SHORE RD",
            "address_2": "4C",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110231733",
            "telephone_number": "516-902-0270",
            "fax_number": "516-747-4783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E SHORE RD",
            "address_2": "4C",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110231733",
            "telephone_number": "516-902-0270",
            "fax_number": "516-747-4783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIHU",
        "first_name": "SHAHRYAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "225921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02362389",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

Verify at the official NPI Registry.