Individual provider Active NPI

Darshak Shah, MD

  • Surgery Physician
  • Flushing, NY
National Provider Identifier
1811139249
Registry record updated Mar 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
276801 Issued in NY
Practice address
17660 Union Tpke
Suite 100
Flushing, NY 11366-1526
Phone
(718) 408-6977
Fax
(718) 408-6970
NPI assigned
Mar 31, 2009
Last updated
Mar 15, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 276801 NY Primary

Addresses

Primary practice location

17660 Union Tpke
Suite 100
Flushing, NY 11366-1526

Mailing address

17660 Union Tpke
Suite 100
Flushing, NY 11366-1526
Phone (718) 408-6977

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20150803001068 NY Practitioner - General Surgery 4183938244 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TJH Medical Services PCGroup PAC ID 8527960533, 215 clinicians

Practice addresses (Care Compare)

4500 Parsons Blvd
Flushing, NY 11355-2205
Phone (718) 670-5868

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.41 of 100Reported as group
Quality
64.77
Promoting interoperability
79
Improvement activities
40
Cost
70.76

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
TJH Medical Services, P.C. Surgery CurrentSince Jun 1, 2016 Accepting new patients
Flushing Hospital & Medical Center CurrentSince Sep 1, 2016 Accepting new patients
Flushing Hospital Medical Center CurrentSince Sep 1, 2016 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jul 1, 2015 Accepting new patients
Icahn School of Medicine at Mount Sinai Surgery CurrentSince Jul 1, 2015 Accepting new patients
Flushing Hospital & Medical Center Past Accepting new patients

Locations

2060 Utica Ave
Brooklyn, NY 11234
Phone (718) 676-5309

14601 45th Ave
Flushing, NY 11355
Phone (718) 670-5562

4500 Parsons Blvd
Flushing, NY 11355
Phone (718) 670-5631

17660 Union Tpke
Ste 100
Fresh Meadows, NY 11366
Phone (718) 408-6977

11940 Metropolitan Ave
Kew Gardens, NY 11415
Phone (718) 849-0839

5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: dshah47025@direct.medisys.org

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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": "1238457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489536000000",
    "number": "1811139249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17660 UNION TPKE",
            "address_2": "SUITE 100",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113661526",
            "telephone_number": "718-408-6977",
            "fax_number": "718-408-6970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17660 UNION TPKE",
            "address_2": "SUITE 100",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113661526",
            "telephone_number": "718-408-6977",
            "fax_number": "718-408-6970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "DARSHAK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-31",
        "last_updated": "2017-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "276801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.