Active NPI
Ami Anand Shah, MD
- Internal Medicine Physician
- New York, NY
National Provider Identifier
1831290030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 236371
- Practice address
- 236 E 82ND St Apt 1F
New York, NY 10028-2798 - Phone
- (917) 822-7424
- NPI assigned
- Sep 26, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 236371 | NY | Primary |
Addresses
Primary practice location
236 E 82ND St Apt 1F
New York, NY 10028-2798
Mailing address
524 E 72ND St Apt 41de
New York, NY 10021-9806
Phone (917) 822-7424
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00355266 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674000000000",
"number": "1831290030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "524 E 72ND ST APT 41DE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100219806",
"telephone_number": "917-822-7424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "236 E 82ND ST APT 1F",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100282798",
"telephone_number": "917-822-7424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "AMI",
"middle_name": "ANAND",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-26",
"last_updated": "2023-01-18",
"certification_date": "2023-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "236371",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00355266",
"state": "NY"
}
],
"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 Jan 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.