Active NPI
Kenneth Kyaw-Win Sha, M.D.
- Pulmonary Disease Physician
- Flushing, NY
National Provider Identifier
1821097932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 197029
- Practice address
- 136-20 38TH Avenue
Ste. CF-B
Flushing, NY 11354 - Phone
- (718) 358-8889
- Fax
- (718) 358-8890
- NPI assigned
- Jul 20, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 197029 | NY | Primary |
Addresses
Primary practice location
136-20 38TH Avenue
Ste. CF-B
Flushing, NY 11354
Mailing address
136-20 38TH Avenue
Ste. CF-B
Flushing, NY 11354
Phone (718) 358-8889
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22R881 | Other | NY | EMPIRE BC/BS |
| 04870H | Other | NY | GHI MEDICARE |
| 01566729 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
13620 38TH Ave
4CFB
Flushing, NY 11354-4232
Phone (718) 358-8889
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Flushing Chest Medical Associates, PC | Pulmonary Disease | Current | Accepting new patients |
Locations
13620 38th Ave
Ste Cfb
Flushing, NY 11354
Phone (718) 358-8889
13620 38th Ave
Ste 4CFB
Flushing, NY 11354
Phone (718) 358-8889
27005 76th Ave
North New Hyde Pk, NY 11040
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Interoperability endpoints
- kks9006@direct.nyp.org
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pulmonary Disease Physician
- Flushing, NY
- NPI 1699817940
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312934400000",
"number": "1821097932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136-20 38TH AVENUE",
"address_2": "STE. CF-B",
"city": "FLUSHING",
"state": "NY",
"postal_code": "11354",
"telephone_number": "718-358-8889",
"fax_number": "718-358-8890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136-20 38TH AVENUE",
"address_2": "STE. CF-B",
"city": "FLUSHING",
"state": "NY",
"postal_code": "11354",
"telephone_number": "718-358-8889",
"fax_number": "718-358-8890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHA",
"first_name": "KENNETH",
"middle_name": "KYAW-WIN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-20",
"last_updated": "2011-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NY",
"license": "197029",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BC/BS",
"identifier": "22R881",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI MEDICARE",
"identifier": "04870H",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01566729",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2011; 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.