NIDHI JAYESH SHAH MD
NPI 1053931063
Student in an Organized Health Care Education/Training Program in Stony Brook, NY

Q: What is Nidhi Shah's NPI number?

The NPI number for Nidhi Shah is 1053931063. It was assigned to this individual provider in the NPPES registry on April 20, 2020.

Q: What is Nidhi Shah's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Nidhi Shah was last updated on April 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 20, 2020PECOS Enrolled

101 NICOLLS RD, STONY BROOK, NY 11794(631) 871-3050 Get Directions Write a Review

NPPES record last updated: April 20, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Nidhi Jayesh Shah Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NIDHI JAYESH SHAH MD (NPI 1053931063) is an individual student in an organized health care education/training program in Stony Brook, New York and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053931063

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameNIDHI JAYESH SHAHCredential: MD

Location Address101 NICOLLS RDStony Brook, NY 11794-0001

Mailing Address101 Nicolls RdStony Brook, NY 11794-0001 · (631) 444-7411

Phone(631) 871-3050

Sole ProprietorNo

Enumeration DateApril 20, 2020

NPPES CertifiedApril 20, 2020

✔ NPI 1053931063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

101 NICOLLS RD, Stony Brook, NY 11794

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nidhi Jayesh Shah Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NARINDER SINGH M.D.

Internal Medicine