Mikhail Shamayev, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

MD432308 Issued in PA

Practice address

9922 Roosevelt Blvd
Philadelphia, PA 19115-1705

Phone

(215) 464-2000

Fax

(215) 464-6046

NPI assigned

Jul 25, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

NeurologyAlso: Internal Medicine

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lower Bucks Hospital Hospital, Bristol, PA, CCN 390070
• Roxborough Memorial Hospital Hospital, Philadelphia, PA, CCN 390304

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Neurology Center of Philadelphia Inc

  • Neurological Surgery Physician
  • Bristol, PA
  • NPI 1831496694
  Medicare reassignment NPD Authorized official
• Neurology Center of Philadelphia Inc.

  • Neurology Physician
  • Philadelphia, PA
  • NPI 1164727277
  NPD Authorized official

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

• Prime Healthcare Services Lower Bucks LLC

  • General Acute Care Hospital
  • Bristol, PA
  • NPI 1528319621
  Care Compare affiliation
• Prime Healthcare Services Roxborough LLC

  • General Acute Care Hospital
  • Philadelphia, PA
  • NPI 1083986129
  Care Compare affiliation

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397779200000",
    "number": "1932399144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9922 ROOSEVELT BLVD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191151705",
            "telephone_number": "215-464-2000",
            "fax_number": "215-464-6046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9922 ROOSEVELT BLVD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191151705",
            "telephone_number": "215-464-2000",
            "fax_number": "215-464-6046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMAYEV",
        "first_name": "MIKHAIL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-25",
        "last_updated": "2014-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD432308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shalom Inc
• Shalom Inc.
• Evelyn Shalon, LCSW
• Mariya Shalumova, RN
• Jay Shamah
• Jason Paul Shames, MD
• Sara Koohdary Shamimi-Noori, M.D.
• Saum A Shamimi-Noori, MD
• Susan Shamimi-Noori, MD
• Renata Shamis, PHARMD

• Neurology Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Neurology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.