Individual provider Active NPI

Doris Shamuilova

  • Physician Assistant
  • New York, NY
National Provider Identifier
1811478167
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
022612 Issued in NY
Practice address
1345 Avenue of the Americas FL 8
New York, NY 10105-0018
Phone
(908) 588-3635
NPI assigned
Aug 24, 2018
Last updated
May 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA67120 CA
Physician Assistant 363A00000X 022612 NY Primary

Addresses

Primary practice location

1345 Avenue of the Americas FL 8
New York, NY 10105-0018

Mailing address

7623 173Rd St
Fresh Meadows, NY 11366-1431

Other practice location 1

156 William St Rm 303
New York, NY 10038-5307
Phone (888) 803-3370

Other practice location 2

65 W 36th St Fl 11
New York, NY 10018-7936
Phone (888) 803-3370

Other practice location 3

333 1st St Ste A
San Francisco, CA 94105-2661
Phone (888) 803-3370

Other practice location 4

415 N Crescent Dr
Beverly Hills, CA 90210-4860
Phone (888) 803-3370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201204000119 NY Practitioner - Physician Assistant 7113271123 Reassigns benefits to 2 organizations
I20260506001748 CA Practitioner - Physician Assistant 7113271123 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Circle Medical Care of New York PCGroup PAC ID 0749710465, 16 clinicians

Practice addresses (Care Compare)

156 William St
RM 303
New York, NY 10038-5307
Phone (855) 487-8497

16221 Jamaica Ave
Jamaica, NY 11432-4909
Phone (718) 571-9116

3111 Steinway St
Astoria, NY 11103-3908
Phone (718) 475-2345

6118 188TH St
Fresh Meadows, NY 11365-2713
Phone (718) 489-5003

7049 Austin St
Forest Hills, NY 11375-1033
Phone (718) 280-1245

7425 Grand Ave
Elmhurst, NY 11373-4126
Phone (718) 803-2273

9119 Queens Blvd
Elmhurst, NY 11373-5531
Phone (646) 647-1253

Merit-based Incentive Payment System (MIPS)

Final score
86.33 of 100Reported as group
Quality
82.1
Promoting interoperability
100
Improvement activities
40
Cost
72.34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA67120CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
City Medical of Upper East Side, PLLC CurrentSince Nov 1, 2020 Accepting new patients
Circle Medical Care of New York PC CurrentSince Aug 22, 2025 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Nov 1, 2020 Accepting new patients
Cityhealth Medical PC PastSince Jul 1, 2017 Accepting new patients
Urban Wellness Physicians, PLLC PastSince Aug 25, 2024 Accepting new patients

Locations

333 1st St
Ste A
San Francisco, CA 94105
Phone (312) 724-7441

3111 Steinway St
Astoria, NY 11103
Phone (718) 475-2345

9119 Queens Blvd
Elmhurst, NY 11373
Phone (646) 647-1253

1345 Avenue of the Americas
Fl 8
New York, NY 10105
Phone (212) 913-0828

156 William St
Rm 303
New York, NY 10038
Phone (813) 955-6329

336 E 86th St
New York, NY 10028
Phone (212) 772-3627

1345 Rxr Plz
Uniondale, NY 11556
Phone (516) 453-0435

Interoperability endpoints

  • Direct secure messaging: doris.shamuilova.1@2983.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/16093/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1535068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1811478167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7623 173RD ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 AVENUE OF THE AMERICAS FL 8",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101050018",
            "telephone_number": "908-588-3635"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "156 William St Rm 303",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100385307",
            "country_code": "US",
            "telephone_number": "888-803-3370",
            "fax_number": "888-803-3331",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "65 W 36th St Fl 11",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100187936",
            "country_code": "US",
            "telephone_number": "888-803-3370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "333 1st St Ste A",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941052661",
            "country_code": "US",
            "telephone_number": "888-803-3370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "415 N Crescent Dr",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "902104860",
            "country_code": "US",
            "telephone_number": "888-803-3370",
            "fax_number": "888-803-3331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAMUILOVA",
        "first_name": "DORIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-24",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA67120",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "022612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.