Individual provider Active NPI

Manish Shah, M.D.

  • Obstetrics & Gynecology Physician
  • Schenectady, NY
National Provider Identifier
1902001936
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
266248 Issued in NY
Practice address
1044 State St
Schenectady, NY 12307-1508
Phone
(518) 370-1441
Fax
(518) 395-9431
NPI assigned
Jun 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 0101245248 VA
Obstetrics & Gynecology Physician 207V00000X MD444517 PA
Obstetrics & Gynecology Physician 207V00000X 266248 NY Primary
Obstetrics & Gynecology Physician 207V00000X 57.010801 OH

Addresses

Primary practice location

1044 State St
Schenectady, NY 12307-1508

Mailing address

1401 S 31St St FL 2
Philadelphia, PA 19146-3506
Phone (215) 925-2400

Other identifiers 3

IdentifierTypeStateIssuer
53099AOtherNYMEDICARE PIN
02995513MedicaidNY
331833OtherNYMEDICARE OSCAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130508000222 NY Practitioner - Obstetrics/Gynecology 3971786690 Reassigns benefits to 1 organization
I20190529001902 PA Practitioner - Obstetrics/Gynecology 3971786690 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Schenectady Family Health Services IncGroup PAC ID 1850280827, shared by 3 NPIs, 20 clinicians

Practice addresses (Care Compare)

1044 State St
Schenectady, NY 12307-1508
Phone 51837014414155

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
266248NYMDObstetrics & Gynecology Physician
57.010801OHMDObstetrics & Gynecology Physician
MD444517PAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Schenectady Family Health Services, Inc. Current Accepting new patients
Greater Philadelphia Health Action Inc. Current Accepting new patients
Greater Philadelphia Health Action, Inc. CurrentSince May 1, 2019 Accepting new patients
Greater Philadelphia Health Action Inc. CurrentSince May 1, 2019 Accepting new patients
Schenectady Family Health Services, Inc. CurrentSince Sep 30, 2024 Accepting new patients
Schenectady Family Health Services, Inc. Past Accepting new patients
Schenectady Family Health Services, Inc. Past Accepting new patients
Shenandoah Valley Medical System, Inc. Past Accepting new patients
Chenango Memorial Hospital, Inc. Obstetrics & Gynecology Past Accepting new patients
Schenectady Family Health Services, Inc. Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

67 Division St
Ste 2
Amsterdam, NY 12010
Phone (518) 627-2110

1044 State St
Schenectady, NY 12307
Phone (518) 370-1441

5501 Woodland Ave
Philadelphia, PA 19143
Phone (215) 724-4700

1999 W Hunting Park Ave
Philadelphia, PA 19140
Phone (215) 228-9300

1401 S 31st St
#2
Philadelphia, PA 19146

4510 Frankford Ave
Philadelphia, PA 19124
Phone (215) 744-1302

432 N 6th St
Philadelphia, PA 19123
Phone (215) 627-8000

Organizations & group practices 11

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": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1902001936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 S 31ST ST FL 2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191463506",
            "telephone_number": "215-925-2400",
            "fax_number": "215-925-9162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 STATE ST",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123071508",
            "telephone_number": "518-370-1441",
            "fax_number": "518-395-9431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "MANISH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-19",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101245248",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD444517",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "266248",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "57.010801",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "53099A",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02995513",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE OSCAR",
            "identifier": "331833",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Schenectady, NY

Sources for this page

Verify at the official NPI Registry.