Individual provider Active NPI

Syed M. Shah, M.D., FACS

  • Surgery Physician
  • Brooklyn, NY
National Provider Identifier
1912948597
Registry record updated Jan 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
35736 Issued in IA
Practice address
506 6TH St
Ny Methodist Hospital, Dept of Surgery
Brooklyn, NY 11215-3609
Phone
(718) 780-3288
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 35736 IA Primary

Addresses

Primary practice location

506 6TH St
Ny Methodist Hospital, Dept of Surgery
Brooklyn, NY 11215-3609

Mailing address

506 6TH St
Ny Methodist Hospital, Dept of Surgery
Brooklyn, NY 11215-3609
Phone (718) 780-3288

Other identifiers 1

IdentifierTypeStateIssuer
0448498MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, VI, FL3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20100614000517 NY Practitioner - General SurgeryPractitioner - Surgical OncologyPractitioner - Other (Physician) 1254306269 Reassigns benefits to 2 organizations
I20210305002330 VI Practitioner - General SurgeryPractitioner - Critical Care (Intensivists) 1254306269 Reassigns benefits to 1 organization
I20220708000151 FL Practitioner - General Surgery 1254306269 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
47.54 of 100Reported as apm
Quality
38.49
Promoting interoperability
0
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Clinical Practice Association Inc Surgery CurrentSince May 25, 2022 Accepting new patients
Kings Physician Services, PC CurrentSince Sep 1, 2016 Accepting new patients
Kings Physician Services, PC CurrentSince Sep 1, 2016 Accepting new patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince Dec 23, 2020 Accepting new patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince Dec 23, 2020 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince May 25, 2022 Accepting new patients
Wyckoff Professional Medical Services, PC Surgery CurrentSince Aug 1, 2021 Accepting new patients
LMC Physician Services, PC Surgery Past Accepting new patients
CMC Housestaff Past Accepting new patients

Locations

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000

506 6th St
Ste B
Brooklyn, NY 11215
Phone (718) 780-3677

506 6th St
Brooklyn, NY 11215
Phone (718) 780-3279

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

4007 Estate Diamond Ruby
St Croix, VI 00820
Phone (340) 772-7423

Organizations & group practices 9

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357776000000",
    "number": "1912948597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 6TH ST",
            "address_2": "NY METHODIST HOSPITAL, DEPT OF SURGERY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112153609",
            "telephone_number": "718-780-3288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 6TH ST",
            "address_2": "NY METHODIST HOSPITAL, DEPT OF SURGERY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112153609",
            "telephone_number": "718-780-3288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SYED",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D., FACS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2013-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IA",
            "license": "35736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0448498",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.