Individual provider Active NPI

Priya Shah, M.D.

  • Ophthalmology Physician
  • Bronxville, NY
National Provider Identifier
1942628516
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
2953081 Issued in NY
Practice address
77 Pondfield Rd
Bronxville, NY 10708-3809
Phone
(914) 337-8844
Fax
(914) 779-5594
NPI assigned
Apr 1, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Ophthalmology Physician 207W00000X 2953081 NY Primary

Addresses

Primary practice location

77 Pondfield Rd
Bronxville, NY 10708-3809

Mailing address

77 Pondfield Rd
Bronxville, NY 10708-3809
Phone (143) 378-8844

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pshah@directbronxvilleeyeassoc.com Direct

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
I20181205001116 NY Practitioner - Ophthalmology 7113261991 Reassigns benefits to 2 organizations
Practice locations: Bronxville, NY

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Baylor College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harooni and Sheindlin MD PCGroup PAC ID 3971568478, 8 clinicians

Practice addresses (Care Compare)

109 4TH Ave
Brooklyn, NY 11217-2712
Phone (718) 438-5600

Merit-based Incentive Payment System (MIPS)

Final score
23.12 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
77.08

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery59

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2953081NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Harooni & Sheindlin MD PC CurrentSince Aug 9, 2022 Accepting new patients
Bronxville Eye Associates LLC Ophthalmology CurrentSince Apr 1, 2019 Accepting new patients
Medalliance Medical Health Services Inc Past Accepting new patients

Locations

77 Pondfield Rd
Bronxville, NY 10708
Phone (914) 337-2102

1301 Avenue J
Brooklyn, NY 11230
Phone (718) 645-0600

586 President St
Ste B
Brooklyn, NY 11215
Phone (718) 438-5600

5205 Church Ave
Brooklyn, NY 11203
Phone (718) 342-2500

1530 Bedford Ave
Brooklyn, NY 11216
Phone (718) 221-2020

109 4th Ave
Brooklyn, NY 11217
Phone (718) 438-5600

Networks

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

Organizations & group practices 3

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": "1396310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1942628516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 PONDFIELD RD",
            "city": "BRONXVILLE",
            "state": "NY",
            "postal_code": "107083809",
            "telephone_number": "143-378-8844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 PONDFIELD RD",
            "city": "BRONXVILLE",
            "state": "NY",
            "postal_code": "107083809",
            "telephone_number": "914-337-8844",
            "fax_number": "914-779-5594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "PRIYA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-01",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "2953081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pshah@directbronxvilleeyeassoc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "77 Pondfield Rd",
            "city": "Bronxville",
            "state": "NY",
            "country_code": "US",
            "postal_code": "107083809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bronxville, NY

Sources for this page

Verify at the official NPI Registry.