Individual provider Active NPI

Neel Pravin Shah, MD

  • Orthopaedic Surgery of the Spine Physician
  • New York, NY
National Provider Identifier
1871811331
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
A155581 Issued in CA
Practice address
425 E 79TH St Ste 1H
New York, NY 10075-1038
Phone
(212) 249-3840
NPI assigned
May 8, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X A155581 CA Primary

Addresses

Primary practice location

425 E 79TH St Ste 1H
New York, NY 10075-1038

Mailing address

1865 Broadway
New York, NY 10023-7501
Phone (646) 248-7800

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
I20190116002557 NY Practitioner - Orthopedic Surgery 2163736166 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.33 of 100Reported as group
Quality
82.1
Promoting interoperability
100
Improvement activities
40
Cost
72.34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A155581CAMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center Orthopaedic Surgery CurrentSince Nov 16, 2018 Accepting new patients
Montefiore Medical Center CurrentSince Nov 16, 2018 Accepting new patients
Nathaniel L Tindel MD LLC Orthopaedic Surgery PastSince Feb 2, 2025 Accepting new patients

Locations

1250 Waters Pl
Fl 11
Bronx, NY 10461
Phone (347) 577-4460

111 E 210th St
Bronx, NY 10467

Interoperability endpoints

  • Direct secure messaging: nshah528112@nyumc.direct-ci.com
  • Direct secure messaging: nshah66802@northwell.direct-ci.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1273276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1871811331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1865 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100237501",
            "telephone_number": "646-248-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 E 79TH ST STE 1H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751038",
            "telephone_number": "212-249-3840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "NEEL",
        "middle_name": "PRAVIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-08",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "CA",
            "license": "A155581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.