Individual provider Active NPI

Shazia Andleeb Sami, M.D

  • Family Medicine Physician
  • Kew Gardens, NY
National Provider Identifier
1902992951
Registry record updated Jun 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
240847 Issued in NY
Practice address
8550 118TH St
Kew Gardens, NY 11415-2908
Phone
(718) 441-4363
NPI assigned
Oct 5, 2006
Last updated
Jun 3, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 240847 NY Primary

Addresses

Primary practice location

8550 118TH St
Kew Gardens, NY 11415-2908

Mailing address

8550 118TH St
Kew Gardens, NY 11415-2908
Phone (718) 441-4363

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
I20070530000079 NY Practitioner - Family Practice 5799882650 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8550 118TH St
Kew Gardens, NY 11415-2908
Phone (718) 441-4363

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
240847NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shazia Sami Medicine PC CurrentSince Jul 16, 2009 Accepting new patients
Nuclear Cardiac and Medical Imaging Services, PC Past Accepting new patients

Locations

8550 118th St
Kew Gardens, NY 11415
Phone (718) 441-4363

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IFEHAA/Endpoint/IFEHAA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433289600000",
    "number": "1902992951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8550 118TH ST",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114152908",
            "telephone_number": "718-441-4363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8550 118TH ST",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114152908",
            "telephone_number": "718-441-4363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMI",
        "first_name": "SHAZIA",
        "middle_name": "ANDLEEB",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2015-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "240847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kew Gardens, NY

Sources for this page

Verify at the official NPI Registry.