BAMSHAD MEDICAL PC
NPI 1114684826
Radiology - Vascular & Interventional Radiology in Fresh Meadows, NY

Active since November 17, 2021
6925 170TH ST, FRESH MEADOWS, NY 11365(646) 217-2730 Get Directions Write a Review

NPPES record last updated: March 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 11, 2025, Nov 17, 2021 (2 updates tracked since 2021).

About Bamshad Medical Pc NPPES

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

BAMSHAD MEDICAL PC (NPI 1114684826) is a healthcare organization registered as a vascular & interventional radiology in Fresh Meadows, New York and active in the NPI registry since November 2021. The organization lists David Bamshad, Owner, as its authorized official.

NPPES Registry Identity

NPI1114684826
Entity TypeOrganization
Primary Taxonomy2085R0204X
Legal Business NameBAMSHAD MEDICAL PC
Location Address6925 170TH STFresh Meadows, NY 11365-3309
Mailing Address6925 170th StFresh Meadows, NY 11365-3309
Organization SubpartNo
Authorized OfficialDavid BamshadOwner · (646) 217-2730
Enumeration DateNovember 17, 2021
Last NPPES UpdateMarch 11, 20252 updates tracked since enumeration
NPPES CertifiedMarch 11, 2025
✔ NPI 1114684826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Also ListedInternal MedicineTaxonomy 207R00000X
6925 170TH ST, Fresh Meadows, NY 11365

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bamshad Medical Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Bamshad Medical PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Interventional Radiology
NPI 1972065894
6925 170TH ST
Fresh Meadows, NY 11365
(646) 217-2730
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bamshad Medical PC's NPI number?

The NPI number for Bamshad Medical PC is 1114684826. It was assigned to this organization in the NPPES registry on November 17, 2021.

Where is Bamshad Medical PC located?

Bamshad Medical PC is located at 6925 170th St, Fresh Meadows, NY 11365. The listed phone number is (646) 217-2730.

What is Bamshad Medical PC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Is Bamshad Medical PC enrolled in Medicare?

Yes. Bamshad Medical PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bamshad Medical PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Interventional Radiology) reassigns their Medicare billing to Bamshad Medical PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Bamshad Medical PC was last updated on March 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.