MRS. AMI SHREYAS BAXI M.D.
Complete NPI Record 1104068808
Student in an Organized Health Care Education/Training Program in Stony Brook, NY
Active since March 27, 2009PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
STONY BROOK UNIVERSITY HOSPITAL, MEDICAL STAFF OFFICE T14, STONY BROOK, NY 11794(631) 444-2754(631) 444-6031 Get Directions
Complete NPI Dataset
This page contains the complete raw NPPES record for Mrs. Ami Shreyas Baxi, M.D. (NPI 1104068808), an individual student in an organized health care education/training program provider in Stony Brook, NY. All 34 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.
Use the tools below to filter fields by category, search within the record, or jump straight to a specific field. You can download the full record as a CSV, JSON, Markdown or text file, or filter first and export only the fields you need. The Print Clean Summary button produces a printer-friendly copy of the record.
Registry File Document Utilities
- NPI: 1104068808 Field 1/34
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Entity Type Code: 1 Field 2/34
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Provider Last Name Legal Name: BAXI Field 3/34
- The last name of the provider. If the provider is an individual, this is the legal name.
- Provider First Name: AMI Field 4/34
- The first name of the provider, if the provider is an individual.
- Provider Middle Name: SHREYAS Field 5/34
- The middle name of the provider, if the provider is an individual.
- Provider Name Prefix Text: MRS. Field 6/34
- The name prefix or salutation of the provider if the provider is an individual; for example, Mr., Mrs., or Corporal.
- Provider Credential Text: M.D. Field 7/34
- The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
- Provider Other Last Name: PATEL Field 8/34
- Other last name by which the provider being identified is or has been known.
- Provider Other First Name: AMI Field 9/34
- Other first name by which the provider being identified is or has been known (if an individual). This may be the same as the "Provider first name" if the provider is or has been known by a different last name only.
- Provider Other Name Prefix Text: MRS. Field 10/34
- The other name prefix or salutation of the provider if the provider is an individual; for example, Mr., Mrs., or Corporal.
- Provider Other Credential Text: M.D. Field 11/34
- The other abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
- Provider Other Last Name Type Code: 5 Field 12/34
- Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
- Provider First Line Business Mailing Address: STONY BROOK UNIVERSITY HOSPITAL Field 13/34
- The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
- Provider Second Line Business Mailing Address: MEDICAL STAFF OFFICE T14 Field 14/34
- The second line mailing address of the provider being identified. This data element may contain the same information as "Provider second line location address".
- Provider Business Mailing Address City Name: STONY BROOK Field 15/34
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: NY Field 16/34
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
- Provider Business Mailing Address Postal Code: 117947148 Field 17/34
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
- Provider Business Mailing Address Country Code If outside U S : US Field 18/34
- The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
- Provider Business Mailing Address Telephone Number: 6314442754 Field 19/34
- The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
- Provider Business Mailing Address Fax Number: 6314446031 Field 20/34
- The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
- Provider First Line Business Practice Location Address: STONY BROOK UNIVERSITY HOSPITAL Field 21/34
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Second Line Business Practice Location Address: MEDICAL STAFF OFFICE T14 Field 22/34
- The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Business Practice Location Address City Name: STONY BROOK Field 23/34
- The city name in the location address of the provider being identified.
- Provider Business Practice Location Address State Name: NY Field 24/34
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Postal Code: 117947148 Field 25/34
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Business Practice Location Address Country Code If outside U S : US Field 26/34
- The country code in the location address of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 6314442754 Field 27/34
- The telephone number associated with the location address of the provider being identified.
- Provider Business Practice Location Address Fax Number: 6314446031 Field 28/34
- The fax number associated with the location address of the provider being identified.
- Provider Gender Code: F Field 31/34
- The code designating the provider's gender if the provider is a person.
- Healthcare Provider Taxonomy Code 1: 390200000X Field 32/34
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 1: Y Field 33/34
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Is Sole Proprietor: N Field 34/34
- Indicates whether the provider is registered as a sole proprietor. This is a single-character code: "Y" means the provider operates as a sole proprietor, and "N" means they do not.
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