Active NPI
Shadi Safar Gholi
- Hospitalist Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 311781
- Practice address
- 520 E 70TH St
New York, NY 10021-9800 - Phone
- (212) 746-4071
- Fax
- (212) 746-4734
- NPI assigned
- May 29, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 311781 | NY | |
| Hospitalist Physician | 208M00000X | 311781 | NY | Primary |
Addresses
Primary practice location
520 E 70TH St
New York, NY 10021-9800
Mailing address
1214 5TH Ave Apt 21G
New York, NY 10029-5205
Phone (678) 920-0245
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
- Hospitalist
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
525 E 68TH St
New York, NY 10065-4870
Phone (646) 962-3376
Hospital & facility affiliations
- Girling Health Care of New York
- New York-Presbyterian Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 311781 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Medicine Physicians of New York, PLLC | Current | Accepting new patients | |
| Weill Medical College of Cornell | Current | Accepting new patients | |
| Weill Medical College of Cornell | Current | Accepting new patients | |
| Critical Care Physician of New York PC | Current | Accepting new patients | |
| Cogent Medical Care PC | Internal Medicine | Current | Accepting new patients |
| Weill Medical College of Cornell | Internal Medicine | Current | Accepting new patients |
| New York City Health and Hospitals Corporation | Internal Medicine | Past | Accepting new patients |
Locations
169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111
565 Abbott Rd
Rm 8632
Buffalo, NY 14220
Phone (607) 798-5671
12 N 7th Ave
Mount Vernon, NY 10550
Phone (914) 361-6511
1305 York Ave
Fl 8
New York, NY 10021
Phone (646) 962-3176
520 E 70th St
New York, NY 10021
Phone (212) 746-0838
525 E 68th St
New York, NY 10065
Phone (212) 746-2846
170 William St
New York, NY 10038
Phone (212) 238-0100
70 Dubois St
Fl 2
Newburgh, NY 12550
Phone (845) 561-4400
160 N Midland Ave
Nyack, NY 10960
Phone (845) 348-2000
101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100
160 E Main St
Port Jervis, NY 12771
Phone (845) 856-7000
5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- New York, NY
- NPI 1124170212
-
- Internal Medicine Physician
- East Patchogue, NY
- NPI 1912941238
-
- Critical Care Medicine (Internal Medicine) Physician
- Newburgh, NY
- NPI 1316293954
-
- Emergency Medicine Physician
- Bronx, NY
- NPI 1205944329
-
- Cardiovascular Disease Physician
- New York, NY
- NPI 1144729385
-
- Rheumatology Physician
- Brooklyn, NY
- NPI 1619364957
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1467469023
Internal Medicine
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Brooklyn, NY
- NPI 1568886653
-
- General Acute Care Hospital
- New York, NY
- NPI 1144504044
-
- General Acute Care Hospital
- New York, NY
- NPI 1194832477
-
- General Acute Care Hospital
- Bronxville, NY
- NPI 1780196345
-
- General Acute Care Hospital
- New York, NY
- NPI 1952332801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752105600000",
"number": "1821589540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1214 5TH AVE APT 21G",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100295205",
"telephone_number": "678-920-0245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 E 70TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100219800",
"telephone_number": "212-746-4071",
"fax_number": "212-746-4734"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAFAR GHOLI",
"first_name": "SHADI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-29",
"last_updated": "2025-07-10",
"certification_date": "2025-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "311781",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NY",
"license": "311781",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.