Preeti Shetkar, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

237697 Issued in NY

Practice address

235 Port Richmond Ave
Staten Island, NY 10302-1701

Phone

(718) 876-1732

Fax

(718) 815-3462

NPI assigned

May 23, 2006

Sex

Female

Sole proprietor

No

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 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

Specialty

Internal Medicine

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Health Center of Richmond Inc.Group PAC ID 5597829416, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

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

Interoperability endpoints

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

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.

• Community Health Center of Richmond, Inc

  • Federally Qualified Health Center (FQHC)
  • Staten Island, NY
  • NPI 1114137403
  Care Compare group NPD
• Community Health Center of Richmond Inc

  • Federally Qualified Health Center (FQHC)
  • Staten Island, NY
  • NPI 1952739054
  NPD (past)
• Digestive Disease Consultants PC

  • Gastroenterology Physician
  • Staten Island, NY
  • NPI 1548384332
  NPD (past)

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1952356545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "439 PORT RICHMOND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103021714",
            "telephone_number": "718-924-2254",
            "fax_number": "718-442-0189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 PORT RICHMOND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103021701",
            "telephone_number": "718-876-1732",
            "fax_number": "718-815-3462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHETKAR",
        "first_name": "PREETI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "237697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark F Sherman, MD
• Robert J Sherman, LP
• Steven Barry Shery, DO
• Lidiya Shestoperova, P.A.
• Donika P Sheth, PT
• Valeriya Shevchenko, OTR/L
• Janet Sheydvasser, MS.ED, MSW
• Nadezhda Sheyer, MS
• Mark Sheynshteyn, D.O
• John S Shiau, MD

• Internal Medicine Physician in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; 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.