NPIMap

Individual provider Active NPI

Amit Mahesh Shelat, D.O.

  • Neurology Physician
  • Jericho, NY
National Provider Identifier
1861660987
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
238794 Issued in NY
Practice address
21 Holiday Pond Rd
Jericho, NY 11753-1154
Phone
(516) 822-3917
Fax
(516) 932-0241
NPI assigned
Feb 11, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neurophysiology Physician 2084N0600X 238794 NY
Clinical Neurophysiology Physician 2084N0600X 34.013473 OH
Neurology Physician 2084N0400X 238794 NY Primary

Addresses

Primary practice location

21 Holiday Pond Rd
Jericho, NY 11753-1154

Mailing address

21 Holiday Pond Rd
Jericho, NY 11753-1154
Phone (516) 822-3917

Other identifiers 2

IdentifierTypeStateIssuer
34.013473OtherOHMEDICAL LICENSE NUMBER
03052348MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, OH2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080930000695 NY Practitioner - NeurologyPractitioner - Internal Medicine 0244307437 Reassigns benefits to 6 organizations
I20250723004537 OH Practitioner - Neurology 0244307437 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Internal Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Titan Neurophysiology PAGroup PAC ID 7113160433, 15 clinicians
Yankee Neurophysiology PCGroup PAC ID 5698929883, 10 clinicians
Wildcat Neurophysiology, PCGroup PAC ID 4789943804, 22 clinicians
Evokes LLCGroup PAC ID 4880983832, 19 clinicians
American Intraoperative Monitoring LLCGroup PAC ID 8527230333, 16 clinicians
Longhorn Neurophysiology PAGroup PAC ID 9032373154, 10 clinicians

Practice addresses (Care Compare)

Jericho, NY 11753
Phone (484) 351-8459

153 E 87TH St
Apt 10B
New York, NY 10128-2708
Phone (484) 351-8459

37 Kettlepond Rd
Jericho, NY 11753-1157
Phone (484) 351-8459

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34.013473OHMDClinical Neurophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Evokes, LLC Neurology CurrentSince Jun 1, 2025 Accepting new patients
Longhorn Neurophysiology, P.a. Neurology CurrentSince May 15, 2025 Accepting new patients
American Intraoperative Monitoring LLC Neurology CurrentSince Jun 1, 2025 Accepting new patients
Yankee Neurophysiology, P.C. Neurology CurrentSince Jul 1, 2014 Accepting new patients
Amit M. Shelat, Inc. Neurology Current Accepting new patients
New Horizons Psychiatric Counseling and Pain Management Services LLC CurrentSince May 16, 2025 Accepting new patients
Titan Neurophysiology PA Neurology CurrentSince Apr 1, 2023 Accepting new patients
Wildcat Neurophysiology, PC Neurology CurrentSince Jan 30, 2025 Accepting new patients

Locations

4735 Belpar St NW
Canton, OH 44718
Phone (330) 417-9552

8118 Corporate Way
Ste 212
Mason, OH 45040
Phone (513) 947-8433

13401 Railway Dr
Oklahoma City, OK 73114
Phone (405) 841-7826

100 Front St
Ste 280
West Cnshohocken, PA 19428
Phone (215) 860-0100

5000 Legacy Dr
Ste 330
Plano, TX 75024
Phone (405) 841-7826

1141 N Loop 1604 E
Ste 105484
San Antonio, TX 78232

Interoperability endpoints

  • Direct secure messaging: ashelat872722@direct.ghs.myhfn.org

Organizations & group practices 8

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.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1861660987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 HOLIDAY POND RD",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117531154",
            "telephone_number": "516-822-3917",
            "fax_number": "516-932-0241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 HOLIDAY POND RD",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117531154",
            "telephone_number": "516-822-3917",
            "fax_number": "516-932-0241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELAT",
        "first_name": "AMIT",
        "middle_name": "MAHESH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-11",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "NY",
            "license": "238794",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "OH",
            "license": "34.013473",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "238794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "34.013473",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03052348",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jericho, NY

Sources for this page

Verify at the official NPI Registry.