Shibrah M. Jamil, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

215463 Issued in NY

Practice address

15747 Rose Ave
Flushing, NY 11355-2327

Phone

(179) 754-1639

NPI assigned

Jun 23, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY, NJ2 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

Specialty

Anesthesiology

Education

State University of New York Downstate Medical Center, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Shibrah M. Jamil, MD, P.C.

  • Anesthesiology Physician
  • Rockaway Park, NY
  • NPI 1811505100
  Medicare reassignment NPD Authorized official
• 5000 Avenue K Medical Assocs PC

  • Anesthesiology Physician
  • Brooklyn, NY
  • NPI 1770707622
  Medicare reassignment NPD
• Sedation Vacation Perioperative Medicine PLLC

  • Specialist
  • Valley Stream, NY
  • NPI 1891235404
  Medicare reassignment NPD
• Garden State Healthcare Associates, LLC

  • Emergency Medicine Physician
  • Bayonne, NJ
  • NPI 1700014545
  Medicare reassignment NPD
• Office Anesthesia Solutions

  • Ambulatory Surgical Clinic/Center
  • Newark, NJ
  • NPI 1518575802
  NPD Authorized official
• Jay K. Mehlman, MD, PC

  • Gastroenterology Physician
  • Rockaway Park, NY
  • NPI 1326204694
  NPD
• Ae & Ly Medical Associates PLLC

  • Gastroenterology Physician
  • Flushing, NY
  • NPI 1912060229
  NPD (past)
• Ae&Ly Ambulatory Endoscopy PLLC

  • Gastroenterology Physician
  • Flushing, NY
  • NPI 1609019819
  NPD (past)
• Boulevard Anesthesia Associates, PC

  • Anesthesiology Physician
  • Elmhurst, NY
  • NPI 1295770196
  NPD (past)
• River East Anesthesia Practice, PC

  • Specialist
  • New York, NY
  • NPI 1770530156
  NPD (past)

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1760418727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15747 ROSE AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552327",
            "telephone_number": "179-754-1639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15747 ROSE AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552327",
            "telephone_number": "179-754-1639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMIL",
        "first_name": "SHIBRAH",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "215463-1",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "215463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02462077",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Jakubowicz
• Ainanshe Jama
• James Fang DDS PLLC
• James Sul MD PC
• Jeremy Allan James
• Rico M Jandongan, PHYSICAL THERAPIST
• Jane Pratt-Grippi D.P.M.,P.C.
• Alice Sungju Jang
• Doo Hee Jang
• Hangjun Jang, M.D., PH.D.

• Anesthesiology Physician in Flushing, NY
• Providers in Flushing, NY by specialty
• Anesthesiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; 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.