Individual provider Active NPI

Kalee Shah, MD

  • MOHS-Micrographic Surgery Physician
  • Commack, NY
National Provider Identifier
1922530443
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
308771 Issued in NY
Practice address
353 Veterans Memorial Hwy Ste 101
Commack, NY 11725-4200
Phone
(315) 434-8888
NPI assigned
Apr 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X 308771 NY Primary

Addresses

Primary practice location

353 Veterans Memorial Hwy Ste 101
Commack, NY 11725-4200

Mailing address

353 Veterans Memorial Hwy Ste 101
Commack, NY 11725-4200
Phone (315) 434-8888

Other practice location 1

234 E 149th St
Bronx, NY 10451-5589
Phone (718) 579-5000

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
I20221026001376 NY Practitioner - Dermatology 5092052936 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
JS Weill Medical College, Cornell University, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Physician Affiliate Group of New York PCGroup PAC ID 4688098833, 1,222 clinicians
New York Dermatology and Mohs Surgery Group, PLLCGroup PAC ID 1355402249, 11 clinicians

Practice addresses (Care Compare)

234 E 149 St
Bronx, NY 10451-5504
Phone (718) 579-6101

2601 Ocean Pkwy
Brooklyn, NY 11235-7745
Phone (718) 616-5356

353 Veterans Memorial Hwy
Suite 101
Commack, NY 11725-4200
Phone (631) 543-4888

Hospital & facility affiliations

  • Lincoln Medical & Mental Health Center Hospital, Bronx, NY, CCN 330080

Merit-based Incentive Payment System (MIPS)

Final score
60.68 of 100Reported as individual
Quality
25.62
Improvement activities
40
Cost
68.1

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
87.24 of 100Reported as group
Quality
63.63
Promoting interoperability
85
Improvement activities
40
Cost
73

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision59
Removal of tissue1-10
Removal of skin lesions159
Removal of skin cancer612
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy96

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
308771NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore - Lij Medical PC CurrentSince Sep 1, 2022 Accepting new patients
Physician Affiliate Group of New York PC CurrentSince Jun 14, 2024 Accepting new patients
New York Dermatology & Mohs Surgery Group, PLLC Mohs-Micrographic Surgery CurrentSince Sep 1, 2023 Accepting new patients
North Shore-Lij Medical PC CurrentSince Sep 1, 2022 Accepting new patients
New York Dermatology & Mohs Surgery Group, PLLC Mohs-Micrographic Surgery CurrentSince Sep 1, 2023 Accepting new patients
Downtown Bronx Medical Associates PC CurrentSince Jun 14, 2024 Accepting new patients
Manhattan Dermatology and Cosmetics PLLC Mohs-Micrographic Surgery CurrentSince Sep 1, 2023 Accepting new patients

Locations

234 Eugenio Maria de Hosto Blvd
Bronx, NY 10451
Phone (718) 579-5874

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

353 Veterans Memorial Hwy
Fl 1
Commack, NY 11725

353 Veterans Memorial Hwy
Ste 101
Commack, NY 11725
Phone (631) 543-4888

353 Veterans Memorial Hwy
Commack, NY 11725
Phone (631) 543-4888

225 W Montauk Hwy
Ste 3
Hampton Bays, NY 11946
Phone (212) 518-4562

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

1275 York Ave
New York, NY 10065
Phone (212) 639-3813

820 2nd Ave
Rm 3A
New York, NY 10017
Phone (212) 661-3376

300 Community Dr
Plandome, NY 11030

309 E Middle Country Rd
Ste 201
Smithtown, NY 11787
Phone (631) 265-2020

Networks

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

Interoperability endpoints

  • Direct secure messaging: kalee.shah.1@7628.direct.athenahealth.com
  • Direct secure messaging: kaleeshah@nslijmedgr.allscriptsdirect.net
  • Direct secure messaging: kshah846237@nychhc.direct-ci.com

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1922530443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 VETERANS MEMORIAL HWY STE 101",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117254200",
            "telephone_number": "315-434-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 VETERANS MEMORIAL HWY STE 101",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117254200",
            "telephone_number": "315-434-8888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "234 E 149th St",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104515589",
            "country_code": "US",
            "telephone_number": "718-579-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "KALEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-03",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NY",
            "license": "308771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commack, NY

Sources for this page

Verify at the official NPI Registry.