Active NPI
Shahin A Gharib, MD
- Emergency Medicine Physician
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 239012
- Practice address
- 1650 Grand Concourse
Bronx, NY 10457-7606 - Phone
- (718) 960-1443
- NPI assigned
- Aug 2, 2006
- Last updated
- Mar 12, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 239012 | NY | Primary |
| Emergency Medicine Physician | 207P00000X | 289972 | MA | |
| Emergency Medicine Physician | 207P00000X | 69249 | CT |
Addresses
Primary practice location
1650 Grand Concourse
Bronx, NY 10457-7606
Mailing address
407 Airport Executive Park
Nanuet, NY 10954-5288
Other practice location 1
80 Route 6 Ste 704-705
Baldwin Place, NY 10505-1026
Phone (475) 253-2599
Other practice location 2
55 Hazard Ave
Enfield, CT 06082-3826
Phone (475) 253-2599
Other practice location 3
31 Old Route 7
Brookfield, CT 06804-1711
Phone (475) 253-2599
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CT, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1275 York Ave
New York, NY 10065-6007
Phone (212) 639-7203
31 Old Route 7
Brookfield, CT 06804-1711
Phone (860) 650-3848
80 Route 6
Suite 704 705
Baldwin Place, NY 10505-1026
Phone (860) 650-3848
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.13 of 100
- Quality
- 61.43
- Improvement activities
- 40
- Cost
- 79.81
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 69249 | CT | MD | Emergency Medicine Physician |
| 289972 | MA | MD | Emergency Medicine Physician |
| 239012 | NY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Urgent Care Group | Emergency Medicine | Current | Accepting new patients |
| Tristan Medical PC | Current | Accepting new patients | |
| Urgent Care Medical of New York, LLC | Current | Accepting new patients | |
| Bronxcare Health System | Emergency Medicine | Current | Accepting new patients |
| Fpa Hospital Based | Emergency Medicine | Current | Accepting new patients |
| Rite Medical Care PC | Emergency Medicine | Current | Accepting new patients |
| Fpa Hospital Based | Current | Accepting new patients | |
| Urgent Care Medical Associates of Massachusetts, LLC | Current | Accepting new patients | |
| Bronxcare Health System | Emergency Medicine | Current | Accepting new patients |
| Bronxcare Health System | Current | Accepting new patients | |
| Fpa Hospital Based | Current | Accepting new patients | |
| Madison Avenue Emergency Medicine PC | Emergency Medicine | Past | Accepting new patients |
| St Lukes Roosevelt Hospital Center | Emergency Medicine | Past | Accepting new patients |
| WRK Ventures, LLC | Past | Accepting new patients | |
| New York Downtown Hospital FPP | Emergency Medicine | Past | Accepting new patients |
Locations
31 Old Route 7
Brookfield, CT 06804
Phone (203) 262-1911
1340 Belmont St
Brockton, MA 02301
Phone (508) 559-5108
1210 Boylston St
Chestnut Hill, MA 02467
Phone (617) 608-3215
1019 Trapelo Rd
Waltham, MA 02452
Phone (781) 736-1800
80 Route 6
Ste 704705
Baldwin Place, NY 10505
Phone (475) 253-2599
1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104
17811 Union Tpke
Fresh Meadows, NY 11366
Phone (516) 729-7282
1000 10th Ave
New York, NY 10019
Phone (212) 523-2369
1111 Amsterdam Ave
New York, NY 10025
Phone (212) 523-2309
1275 York Ave
New York, NY 10065
Phone (212) 639-3813
633 3rd Ave
Fl 4
New York, NY 10017
Phone (646) 227-3764
175 Route 59
Spring Valley, NY 10977
Phone (845) 352-6800
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- https://api.platform.athenahealth.com/3082/brand/1/csg/22/fhir/r4
- sgharib31109@mskcc.direct-ci.com
Organizations & group practices 16
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.
-
- Emergency Medicine Physician
- New York, NY
- NPI 1053364539
-
- Urgent Care Clinic/Center
- Baldwin Place, NY
- NPI 1154866879
-
- Urgent Care Clinic/Center
- Brookfield, CT
- NPI 1730479254
-
- Nuclear Medicine Physician
- New York, NY
- NPI 1629319413
-
- Urgent Care Clinic/Center
- Brockton, MA
- NPI 1659153203
-
- Emergency Medicine Physician
- Bronx, NY
- NPI 1669729117
-
- Methadone Clinic
- Bronx, NY
- NPI 1801428222
-
dba FPA Hospital Based MSMC Emergency Physicians
- Emergency Medicine Physician
- New York, NY
- NPI 1427398676
-
dba Mount Sinai Dermatopathology Services III
- Dermatopathology (Pathology) Physician
- New York, NY
- NPI 1841531795
-
- Family Medicine Physician
- Norton, MA
- NPI 1154492700
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New York, NY
- NPI 1700887411
-
- Special Hospital
- New York, NY
- NPI 1770046351
-
- General Acute Care Hospital
- Basking Ridge, NJ
- NPI 1659385474
-
- General Acute Care Hospital
- Montvale, NJ
- NPI 1841650330
-
- General Acute Care Hospital
- Middletown, NJ
- NPI 1528428521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741737600000",
"number": "1801803937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 AIRPORT EXECUTIVE PARK",
"city": "NANUET",
"state": "NY",
"postal_code": "109545288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 GRAND CONCOURSE",
"city": "BRONX",
"state": "NY",
"postal_code": "104577606",
"telephone_number": "718-960-1443"
}
],
"practiceLocations": [
{
"address_1": "80 Route 6 Ste 704-705",
"address_purpose": "LOCATION",
"city": "Baldwin Place",
"state": "NY",
"postal_code": "105051026",
"country_code": "US",
"telephone_number": "475-253-2599",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "55 Hazard Ave",
"address_purpose": "LOCATION",
"city": "Enfield",
"state": "CT",
"postal_code": "060823826",
"country_code": "US",
"telephone_number": "475-253-2599",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "31 Old Route 7",
"address_purpose": "LOCATION",
"city": "Brookfield",
"state": "CT",
"postal_code": "068041711",
"country_code": "US",
"telephone_number": "475-253-2599",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GHARIB",
"first_name": "SHAHIN",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-02",
"last_updated": "2025-03-12",
"certification_date": "2025-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "239012",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MA",
"license": "289972",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CT",
"license": "69249",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; 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.