Individual provider Active NPI

Abdul Shahzad, MD

  • Surgery Physician
  • Harris, NY
National Provider Identifier
1871570911
Registry record updated Apr 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
213292 Issued in NY
Practice address
68 Harris Bushville Road
Harris, NY 12742-0421
Phone
(845) 794-0996
Fax
(845) 796-1404
NPI assigned
Dec 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 213292 NY Primary

Addresses

Primary practice location

68 Harris Bushville Road
Harris, NY 12742-0421

Mailing address

PO Box 421
Harris, NY 12742-0421
Phone (845) 794-3300

Other identifiers 1

IdentifierTypeStateIssuer
02285174MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100526000659 NY Practitioner - General Surgery 3173652351 Reassigns benefits to 1 organization
Practice locations: Ellenville, NY

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Erie Medical Services PCGroup PAC ID 8123278215, 11 clinicians

Practice addresses (Care Compare)

268 W Main St
Suite 2
Fredonia, NY 14063-2200
Phone (716) 672-2000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue67
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
213292NYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Erie Medical Services, PC CurrentSince Jan 1, 2021 Accepting new patients
Davis Medical Clinic, SC Past Accepting new patients
Brooks-TLC Hospital System, Inc. Past Accepting new patients
General Physician, PC Past Accepting new patients

Locations

529 Central Ave
Dunkirk, NY 14048
Phone (716) 338-9797

419 Central Ave
Dunkirk, NY 14048
Phone (716) 952-4266

268 W Main St
Ste 2
Fredonia, NY 14063
Phone (716) 672-2000

Interoperability endpoints

  • Direct secure messaging: abdulshahzadmd@lakeeriehealth.medentdirect.com
  • FHIR API: https://api.platform.athenahealth.com/9435/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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 5

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

NPI Registry JSON

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522800000000",
    "number": "1871570911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 421",
            "city": "HARRIS",
            "state": "NY",
            "postal_code": "127420421",
            "telephone_number": "845-794-3300",
            "fax_number": "845-794-9868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 HARRIS BUSHVILLE ROAD",
            "city": "HARRIS",
            "state": "NY",
            "postal_code": "127420421",
            "telephone_number": "845-794-0996",
            "fax_number": "845-796-1404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHZAD",
        "first_name": "ABDUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2018-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "213292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02285174",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harris, NY

Sources for this page

Verify at the official NPI Registry.