Anjali N Shah, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

233116 Issued in NY

Practice address

310 Fullerton Ave
Suite 101
Newburgh, NY 12550-3724

Phone

(845) 563-9055

Fax

(845) 913-9077

NPI assigned

Aug 12, 2006

Sex

Female

Sole proprietor

Yes

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.

• Hudson Vista Medical,PC

  • Internal Medicine Physician
  • Cornwall, NY
  • NPI 1659666840

  NY

  Medicare reassignment Care Compare group NPD
• Astramed Physician PC

  • Ph.D. Medical Genetics
  • Saint Albans, NY
  • NPI 1831243807
  NPD (past)
• Comprehensive Blood &Cancer Medical Care,PC

  • Hematology & Oncology Physician
  • Newburgh, NY
  • NPI 1275868150
  NPD (past)
• Hudson Valley Cardiologists,PC

  • Specialist
  • Newburgh, NY
  • NPI 1598700619
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Americare Certified Special Services, Inc.

  • Home Health Agency
  • Brooklyn, NY
  • NPI 1770513145

  Home health agency

  Care Compare affiliation
• Litson Certified Care, Inc.

  • Home Health Agency
  • Newburgh, NY
  • NPI 1609926195

  Home health agency

  Care Compare affiliation
• St. Luke'S Cornwall Hospital

  • General Acute Care Hospital
  • Newburgh, NY
  • NPI 1003923434

  Hospital

  Care Compare affiliation

Specialty

Family Practice

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hudson Vista Medical PC 45 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Americare Certified Special Services, Inc Chha Home health agency, Brooklyn, NY, CCN 337290
• Willcare Chha (Newburgh) Home health agency, Newburgh, NY, CCN 337408
• Montefiore St Luke'S Cornwall Hospital, Newburgh, NY, CCN 330264

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles (4 of 8)

Locations

Networks

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

Interoperability endpoints

• Direct secure messaging: asnirav@hiemail.healtheconnections.org

• Anjali Chamanlal Shishoo Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 17, 2008.

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213660800000",
    "number": "1831101757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 FULLERTON AVE",
            "address_2": "SUITE 101",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125503724",
            "telephone_number": "845-563-9055",
            "fax_number": "845-913-9077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 FULLERTON AVE",
            "address_2": "SUITE 101",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125503724",
            "telephone_number": "845-563-9055",
            "fax_number": "845-913-9077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "ANJALI",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2008-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "233116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00463679",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02593199",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANJALI",
            "last_name": "SHISHOO",
            "middle_name": "CHAMANLAL",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jamie L Serra, OTR,CHT
• Carmen Serrette
• Virginia Serviss, M.S. MHC
• Jonathan Philip Shafer
• Elvina Shagieva, MD
• Nirav D Shah, MD
• Parth M. Shah, M.D.
• Rashmi Shah, MSW
• Rutu Shah
• Dorian Kim Shann, DPT, CSCS

• All providers in Newburgh, NY
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.

Verify at the official NPI Registry.