Individual provider Active NPI

Shahin A Gharib, MD

  • Emergency Medicine Physician
  • Bronx, NY
National Provider Identifier
1801803937
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
239012 Issued in NY
Practice address
1650 Grand Concourse
Bronx, NY 10457-7606
Phone
(718) 960-1443
NPI assigned
Aug 2, 2006
Last updated
Mar 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, MA3 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
I20060915000040 NY Practitioner - Emergency Medicine 0446255939 Reassigns benefits to 5 organizations
I20210303003315 CT Practitioner - Emergency Medicine 0446255939 Reassigns benefits to 1 organization
I20211109002371 MA Practitioner - Emergency Medicine 0446255939 Reassigns benefits to 1 organization

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
Memorial Urgent Care GroupGroup PAC ID 6507878675, 46 clinicians
Urgent Care Medical Associates, LLCGroup PAC ID 7214107515, 113 clinicians
Urgent Care Medical of New York LLCGroup PAC ID 5890071443, 40 clinicians

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 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
79.13 of 100Reported as group
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

LicenseStateTypeSpecialty
69249CTMDEmergency Medicine Physician
289972MAMDEmergency Medicine Physician
239012NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Urgent Care Group Emergency Medicine CurrentSince Nov 28, 2022 Accepting new patients
Tristan Medical PC Current Accepting new patients
Urgent Care Medical of New York, LLC CurrentSince Jan 13, 2021 Accepting new patients
Bronxcare Health System Emergency Medicine Current Accepting new patients
Fpa Hospital Based Emergency Medicine CurrentSince Aug 1, 2014 Accepting new patients
Rite Medical Care PC Emergency Medicine CurrentSince Dec 1, 2020 Accepting new patients
Fpa Hospital Based Current Accepting new patients
Urgent Care Medical Associates of Massachusetts, LLC CurrentSince Oct 5, 2023 Accepting new patients
Bronxcare Health System Emergency Medicine CurrentSince Apr 2, 2013 Accepting new patients
Bronxcare Health System CurrentSince Apr 2, 2013 Accepting new patients
Fpa Hospital Based CurrentSince Aug 1, 2014 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

  • FHIR API: https://api.platform.athenahealth.com/3082/brand/1/csg/22/fhir/r4
  • Direct secure messaging: 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.

View all 16

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": "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

Verify at the official NPI Registry.