Individual provider Active NPI

Monica J Shah, M.D.

  • Internal Medicine Physician
  • Yonkers, NY
National Provider Identifier
1962791525
Registry record updated Nov 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
125059890 Issued in IL
Practice address
967 N Broadway
Yonkers, NY 10701-1301
Phone
(914) 559-1022
NPI assigned
Apr 5, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125059890 IL Primary

Addresses

Primary practice location

967 N Broadway
Yonkers, NY 10701-1301

Mailing address

1775 Dempster St
Park Ridge, IL 60068-1143

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20150928002196 FL Practitioner - Internal Medicine 8921220773 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Medicine Services, LLCGroup PAC ID 7810129640, 263 clinicians
Coral Springs Physician Services, LLCGroup PAC ID 7719268333, 36 clinicians
Fort Lauderdale Physician Services, LLCGroup PAC ID 0446535280, 18 clinicians

Practice addresses (Care Compare)

201 E Sample Rd
Pompano Beach, FL 33064-3502
Phone (954) 941-8300

3000 Coral Hills Dr
Coral Springs, FL 33065-4108
Phone (954) 344-3000

6401 N Federal Hwy
Fort Lauderdale, FL 33308-1427
Phone (954) 776-8500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.05 of 100Reported as group
Quality
77.03
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125059890ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Florida Hospitalists Inc CurrentSince Jun 4, 2019 Accepting new patients
Cogent Healthcare of Jacksonville, LLC Internal Medicine CurrentSince Sep 4, 2015 Accepting new patients
Fort Lauderdale Physician Services, LLC CurrentSince Dec 23, 2016 Accepting new patients
Florida Hospital Medicine Services, LLC. CurrentSince Oct 1, 2024 Accepting new patients
Coral Springs Physician Services, LLC CurrentSince Dec 27, 2016 Accepting new patients
Cogent Healthcare of Jacksonville, LLC Internal Medicine CurrentSince Sep 4, 2015 Accepting new patients

Locations

21644 State Road 7
Boca Raton, FL 33428
Phone (561) 488-8210

9655 Boynton Beach Blvd
Boynton Beach, FL 33472
Phone (561) 336-7000

201 E Sample Rd
Deerfield Beach, FL 33064
Phone (954) 786-6400

5352 Linton Blvd
Delray Beach, FL 33484
Phone (561) 495-3166

6401 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 776-8500

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005

3000 Coral Hills Dr
Pompano Beach, FL 33065
Phone (954) 344-3000

Organizations & group practices 6

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 4

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": "1301961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415750400000",
    "number": "1962791525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 DEMPSTER ST",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "967 N BROADWAY",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011301",
            "telephone_number": "914-559-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "MONICA",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-05",
        "last_updated": "2014-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125059890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

Verify at the official NPI Registry.