Individual provider Active NPI

Zia H Shah, MD

  • Pulmonary Disease Physician
  • Binghamton, NY
National Provider Identifier
1750362380
Registry record updated Feb 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
199773 Issued in NY
Practice address
161 Riverside Dr
Suite M 09
Binghamton, NY 13905-4176
Phone
(607) 797-6363
Fax
(866) 546-2496
NPI assigned
Nov 10, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 199773 NY Primary

Addresses

Primary practice location

161 Riverside Dr
Suite M 09
Binghamton, NY 13905-4176

Mailing address

161 Riverside Dr
Binghamton, NY 13905-4176
Phone (607) 797-6363

Other identifiers 1

IdentifierTypeStateIssuer
01643594MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040525001475 NY Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 2264413350 Reassigns benefits to 2 organizations
Receives reassigned benefits from 1 practitioner
Practice locations: Binghamton, NY
I20150717002117 PA Practitioner - Internal Medicine 2264413350 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1666 Mount Hope Ave
Pottsville, PA 17901-1302
Phone (570) 581-8218

169 Riverside Dr
G612
Binghamton, NY 13905-4246
Phone (607) 352-1735

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Champlain Valley Physicians Hospital Medical Center CurrentSince Sep 23, 2017 Accepting new patients
Our Lady of Lourdes Memorial Hospital, Inc. CurrentSince Jul 1, 2019 Accepting new patients
Our Lady of Lourdes Memorial Hospital, Inc. Pulmonary Disease Current Accepting new patients
Our Lady of Lourdes Memorial Hospital Inc. CurrentSince Jul 1, 2019 Accepting new patients
Schuyler Sleep Physicians Pulmonary Disease Past Accepting new patients
Zia H Shah M.D. Pulmonary Disease PastSince Jan 1, 1990 Accepting new patients

Locations

161 Riverside Dr
Binghamton, NY 13905
Phone (607) 760-7664

169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111

169 Riverside Dr
#G612
Binghamton, NY 13905
Phone (607) 352-1735

161 Riverside Dr
Ste M09
Binghamton, NY 13905
Phone (607) 770-6363

169 Riverside Dr
Ste 206
Binghamton, NY 13905
Phone (607) 798-6701

39 E Main St
Hancock, NY 13783
Phone (607) 637-5700

75 Beekman St
Plattsburgh, NY 12901
Phone (518) 562-7100

Interoperability endpoints

  • Direct secure messaging: zshah196879@direct-guthrie.org

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 7

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 4

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": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360108800000",
    "number": "1750362380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 RIVERSIDE DR",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139054176",
            "telephone_number": "607-797-6363",
            "fax_number": "866-546-2496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 RIVERSIDE DR",
            "address_2": "SUITE M 09",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139054176",
            "telephone_number": "607-797-6363",
            "fax_number": "866-546-2496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "ZIA",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2013-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "199773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01643594",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Binghamton, NY

Sources for this page

Verify at the official NPI Registry.