Individual provider Active NPI

Riddhisha Shah

  • Psychiatric/Mental Health Nurse Practitioner
  • Walden, NY
National Provider Identifier
1881448058
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
405525 Issued in NY
Practice address
42 First St
Walden, NY 12586-1605
Phone
(845) 662-2216
NPI assigned
Apr 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 405525 NY Primary
Registered Nurse 163W00000X 792386 NY

Addresses

Primary practice location

42 First St
Walden, NY 12586-1605

Mailing address

42 First St
Walden, NY 12586-1605

Other practice location 1

17 Oakwood Ter Ste 400
New Windsor, NY 12553-7754
Phone (845) 231-0321

Other practice location 2

21 Old Main St Ste 208
Fishkill, NY 12524-1883
Phone (845) 231-0321

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250206000951 NY Practitioner - Nurse Practitioner 6901336932 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Varinder Rathore Medicine PLLCGroup PAC ID 4688109531, 5 clinicians
Balveen Singh DO PCGroup PAC ID 5496054298, 5 clinicians

Practice addresses (Care Compare)

21 Old Main St
Suite 208
Fishkill, NY 12524-1883
Phone (845) 231-0321

216 Congers Rd
BLDG 3
New City, NY 10956-6261
Phone (845) 821-6600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
792386NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Varinder Rathore Medicine PLLC CurrentSince Jan 1, 2025 Accepting new patients
Balveen Singh DO PC CurrentSince Jan 12, 2025 Accepting new patients

Locations

21 Old Main St
Ste 208
Fishkill, NY 12524
Phone (845) 231-0321

216 Congers Rd
Bldg 3
New City, NY 10956
Phone (845) 480-6678

17 Oakwood Ter
Ste 400
New Windsor, NY 12553
Phone (845) 231-0321

Interoperability endpoints

  • Direct secure messaging: riddhisha.shah.2@32758.direct.athenahealth.com

Organizations & group practices 2

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": "1713139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1881448058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 FIRST ST",
            "city": "WALDEN",
            "state": "NY",
            "postal_code": "125861605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 FIRST ST",
            "city": "WALDEN",
            "state": "NY",
            "postal_code": "125861605",
            "telephone_number": "845-662-2216"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 Oakwood Ter Ste 400",
            "address_purpose": "LOCATION",
            "city": "New Windsor",
            "state": "NY",
            "postal_code": "125537754",
            "country_code": "US",
            "telephone_number": "845-231-0321",
            "fax_number": "833-438-1983",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21 Old Main St Ste 208",
            "address_purpose": "LOCATION",
            "city": "Fishkill",
            "state": "NY",
            "postal_code": "125241883",
            "country_code": "US",
            "telephone_number": "845-231-0321",
            "fax_number": "833-438-1983",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "RIDDHISHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-15",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "405525",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "792386",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walden, NY

Sources for this page

Verify at the official NPI Registry.