Individual provider Active NPI

David Ruben Bamshad

  • Vascular & Interventional Radiology Physician
  • Fresh Meadows, NY
National Provider Identifier
1972065894
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
306306 Issued in NY
Practice address
6925 170TH St
Fresh Meadows, NY 11365-3309
Phone
(646) 217-2730
NPI assigned
Apr 1, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 306306 NY
Diagnostic Radiology Physician 2085R0202X 306306 NY
Student in an Organized Health Care Education/Training Program 390200000X
Vascular & Interventional Radiology Physician 2085R0204X 306306 NY Primary

Addresses

Primary practice location

6925 170TH St
Fresh Meadows, NY 11365-3309

Mailing address

14744 70TH Ave Apt 3
Flushing, NY 11367-1739

Other practice location 1

1000 10th Ave
New York, NY 10019-1147
Phone (212) 523-4000

Other practice location 2

100 Woods Rd
Valhalla, NY 10595-1530
Phone (914) 493-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250331002277 LA Practitioner - Diagnostic Radiology 1658505995 Reassigns benefits to 5 organizations
I20250716000110 NY Practitioner - Interventional Radiology 1658505995 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Radiology
Education
New York Medical College, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Care Radiology PCGroup PAC ID 3971913740, 5 clinicians

Practice addresses (Care Compare)

4209 Ave U
Brooklyn, NY 11234-5121
Phone (646) 620-5828

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Total Care Radiology PC CurrentSince Oct 23, 2025 Accepting new patients
Bamshad Medical PC Internal Medicine CurrentSince May 5, 2025 Accepting new patients
Allegiance Hospital of Many,LLC CurrentSince Feb 12, 2025 Accepting new patients
Hawkeye Medical, LLC CurrentSince Feb 12, 2025 Accepting new patients
CLHG-Oakdale LLC CurrentSince Feb 12, 2025 Accepting new patients
CLHG-Acadian LLC Internal Medicine Current Accepting new patients
CLHG-Oakdale LLC CurrentSince Feb 12, 2025 Accepting new patients
CLHG-Acadian LLC CurrentSince Feb 12, 2025 Accepting new patients
CLHG-Ville Platte LLC Diagnostic Radiology CurrentSince Feb 12, 2025 Accepting new patients
Allegiance Hospital of Many, LLC CurrentSince Feb 12, 2025 Accepting new patients
CLHG-Acadian, LLC CurrentSince Feb 12, 2025 Accepting new patients
CLHG-Ville Platte LLC CurrentSince Feb 12, 2025 Accepting new patients
Bamshad Health Network Inc. CurrentSince Jul 24, 2013 Accepting new patients
CLHG-Oakdale, LLC Past Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Past Accepting new patients
Allegiance Hospital of Many, LLC Past Accepting new patients

Locations

3501 Highway 190
Eunice, LA 70535
Phone (337) 580-7500

240 Highland Dr
Many, LA 71449
Phone (318) 256-5691

12060 Texas Hwy
#3
Many, LA 71449
Phone (318) 256-9002

4231 Highway 1192
Marksville, LA 71351
Phone (318) 240-6000

130 Hospital Dr
Oakdale, LA 71463
Phone (318) 215-3084

800 E Main St
Ville Platte, LA 70586
Phone (337) 363-5684

869 E Tremont Ave
Bronx, NY 10460
Phone (718) 299-3456

4209 Avenue U
Brooklyn, NY 11234
Phone (347) 934-9068

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1554076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1972065894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14744 70TH AVE APT 3",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113671739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6925 170TH ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113653309",
            "telephone_number": "646-217-2730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 10th Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100191147",
            "country_code": "US",
            "telephone_number": "212-523-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Woods Rd",
            "address_purpose": "LOCATION",
            "city": "Valhalla",
            "state": "NY",
            "postal_code": "105951530",
            "country_code": "US",
            "telephone_number": "914-493-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAMSHAD",
        "first_name": "DAVID",
        "middle_name": "RUBEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-01",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "306306",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "306306",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NY",
            "license": "306306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresh Meadows, NY

Sources for this page

Verify at the official NPI Registry.