Individual provider Active NPI

Sumir Shah, D.O.

  • Emergency Medicine Physician
  • New York, NY
National Provider Identifier
1881048486
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
297353 Issued in NY
Practice address
255 Greenwich St FL 5
New York, NY 10007-2688
Phone
(646) 687-7600
NPI assigned
Apr 20, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X 297353 NY Primary

Addresses

Primary practice location

255 Greenwich St FL 5
New York, NY 10007-2688

Mailing address

249 Putnam Ave
Brooklyn, NY 11216-5937
Phone (585) 406-5356

Other practice location 1

374 Stockholm St
Brooklyn, NY 11237-4006
Phone (718) 963-7272

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
I20190619001097 NY Practitioner - GastroenterologyPractitioner - Internal MedicinePractitioner - Pediatric MedicinePractitioner - Emergency Medicine 5991039349 Reassigns benefits to 5 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Brookdale Hospital Medical Center CurrentSince Sep 20, 2024 Accepting new patients
Wyckoff Emergency Medicine Services, P.C. Emergency Medicine CurrentSince Jul 1, 2019 Accepting new patients
Emergency Care Services of New York, P.C. Emergency Medicine CurrentSince Aug 7, 2023 Accepting new patients
The Brookdale Hospital Medical Center CurrentSince Sep 20, 2024 Accepting new patients
North Shore-Lij Medical PC Emergency Medicine CurrentSince Sep 1, 2019 Accepting new patients
Interfaith Emergency Medicine, P.C. Emergency Medicine CurrentSince Apr 1, 2020 Accepting new patients

Locations

374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485

121 DeKalb Ave
Brooklyn, NY 11201
Phone (718) 250-6604

1235 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7143

374 Stockholm St
#137N
Brooklyn, NY 11237
Phone (718) 963-6485

1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175

100 E 77th St
New York, NY 10075
Phone (212) 434-2606

300 Community Dr
Plandome, NY 11030

Networks

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

Interoperability endpoints

  • Direct secure messaging: sshah65310@northwell.direct-ci.com
  • Direct secure messaging: sumir.shah.1@25843.direct.athenahealth.com

Organizations & group practices 6

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": "1461110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1881048486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 PUTNAM AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112165937",
            "telephone_number": "585-406-5356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 GREENWICH ST FL 5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100072688",
            "telephone_number": "646-687-7600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "374 Stockholm St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112374006",
            "country_code": "US",
            "telephone_number": "718-963-7272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SUMIR",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-20",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "297353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.