Individual provider Active NPI

Shashi Kumar, MD PHD

  • Internal Medicine Physician
  • Syracuse, NY
National Provider Identifier
1770802654
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
275684 Issued in NY
Practice address
301 Prospect Ave
Syracuse, NY 13203-1807
Phone
(315) 412-4289
NPI assigned
May 18, 2010
Last updated
Sep 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 275684 NY Primary
Internal Medicine Physician 207R00000X 75130 CT
Hospitalist Physician 208M00000X 275684 NY

Addresses

Primary practice location

301 Prospect Ave
Syracuse, NY 13203-1807

Mailing address

141 Brinan Fields Run
Manlius, NY 13104-8809

Other practice location 1

201 Chestnut Hill Rd
Stafford Springs, CT 06076-4005
Phone (860) 684-4251

Other practice location 2

2215 Burdett Ave
Troy, NY 12180-2466
Phone (518) 525-8600

Other practice location 3

315 S Manning Blvd
Albany, NY 12208-1707
Phone (518) 525-8600

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address payer.credentialing@sphp.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NH, CT3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20150122000060 NY Practitioner - Internal Medicine 3476877432 Reassigns benefits to 7 organizations
I20240711002050 NH Practitioner - Internal Medicine 3476877432
I20250805001581 CT Practitioner - Internal Medicine 3476877432 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Texas Tech University Health Science Center School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Auburn Community HospitalGroup PAC ID 2365346525, 61 clinicians
Galen Inpatient Physicians PCGroup PAC ID 3678464633, 1,045 clinicians

Practice addresses (Care Compare)

17 Lansing St
Auburn, NY 13021-1983
Phone (315) 255-7142

201 Chestnut Hill Rd
Stafford Springs, CT 06076-4005
Phone (860) 684-4251

255 Lafayette Ave
Suffern, NY 10901-4812
Phone (845) 368-5983

6511 Spring Brook Ave
Rhinebeck, NY 12572-3709
Phone (845) 876-3001

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Merit-based Incentive Payment System (MIPS)

Final score
73.63 of 100Reported as group
Quality
64.83
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
89 of 100Reported as apm
Quality
73.23
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
75130CTMDInternal Medicine Physician
275684NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Hospital-Laconia Internal Medicine CurrentSince Jul 1, 2024 Accepting new patients
St. Joseph's Physician Health, P.C. Internal Medicine CurrentSince Jul 21, 2016 Accepting new patients
Galen Inpatient Physicians PC Internal Medicine CurrentSince Sep 9, 2025 Accepting new patients
Auburn Memorial Medical Services, PC Internal Medicine CurrentSince Aug 25, 2025 Accepting new patients
Galen Inpatient Physicians PC Hospitalist CurrentSince Sep 9, 2025 Accepting new patients
Auburn Community Hospital Internal Medicine CurrentSince Mar 1, 2021 Accepting new patients
Galen Inpatient Physicians PC Internal Medicine Current Accepting new patients
Auburn Memorial Medical Services, PC CurrentSince Aug 25, 2025 Accepting new patients
New York Medical Physician Associates PC Hospitalist CurrentSince Aug 1, 2024 Accepting new patients
New York Medical Physician Associates PC Internal Medicine CurrentSince Aug 1, 2024 Accepting new patients
Cogent Medical Care PC Internal Medicine CurrentSince Oct 6, 2019 Accepting new patients
MVHS Inc Past Accepting new patients
MVHS Inc Past Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

201 Chestnut Hill Rd
Stafford Springs, CT 06076
Phone (860) 265-6521

250 Pleasant St
Concord, NH 03301
Phone (603) 225-2711

15 Aiken Ave
Franklin, NH 03235
Phone (603) 934-2060

80 Highland St
Laconia, NH 03246
Phone (603) 527-7100

238 Daniel Webster Hwy
Meredith, NH 03253
Phone (603) 279-7464

77 Nelson St
Ste 120
Auburn, NY 13021
Phone (315) 252-7550

101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100

160 E Main St
Port Jervis, NY 12771
Phone (845) 856-7000

241 North Rd
Poughkeepsie, NY 12601
Phone (845) 431-8889

1500 N James St
Rome, NY 13440
Phone (315) 338-7000

17 Lansing St
Sennett, NY 13021
Phone (315) 255-7011

255 Lafayette Ave
Suffern, NY 10901
Phone (845) 357-7830

104 Union Ave
Syracuse, NY 13203
Phone (315) 422-4442

301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111

111 Hospital Dr
Utica, NY 13502
Phone (315) 801-8534

127 S Broadway
Yonkers, NY 10701
Phone (914) 378-7342

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 15

Hospital & facility affiliations 9

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": "1274140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790208000000",
    "number": "1770802654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 BRINAN FIELDS RUN",
            "city": "MANLIUS",
            "state": "NY",
            "postal_code": "131048809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 PROSPECT AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132031807",
            "telephone_number": "315-412-4289"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Chestnut Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Stafford Springs",
            "state": "CT",
            "postal_code": "060764005",
            "country_code": "US",
            "telephone_number": "860-684-4251",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2215 Burdett Ave",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "NY",
            "postal_code": "121802466",
            "country_code": "US",
            "telephone_number": "518-525-8600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "315 S Manning Blvd",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122081707",
            "country_code": "US",
            "telephone_number": "518-525-8600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "SHASHI",
        "credential": "MD PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-18",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "275684",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "75130",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "275684",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "payer.credentialing@sphp.com",
            "affiliation": "N",
            "endpointDescription": "SPHP - Payer Credentialing",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "315 S Manning Blvd",
            "city": "Albany",
            "state": "NY",
            "country_code": "US",
            "postal_code": "122081707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.