KOMAL SHAHEEN NP
NPI 1124996848
Nurse Practitioner - Adult Health in Brooklyn, NY

Active since October 24, 2025PECOS Enrolled
706 BANNER AVE #1, BROOKLYN, NY 11235(718) 368-3092 Get Directions Write a Review

NPPES record last updated: January 15, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Komal Shaheen Np NPPES

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

KOMAL SHAHEEN NP (NPI 1124996848) is an individual adult health provider in Brooklyn, New York, licensed in New York (F312574-01) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS and is a graduate of City University Of New York School Of Medicine (2025).

NPPES Registry Identity

NPI1124996848
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameKOMAL SHAHEENCredential: NP
Location Address706 BANNER AVE #1Brooklyn, NY 11235
Mailing Address706 Banner Ave #1Brooklyn, NY 11235
Sole ProprietorNo
Medical School CMSCity University Of New York School Of MedicineGraduated 2025
Enumeration DateOctober 24, 2025
Last NPPES UpdateJanuary 15, 2026
NPPES CertifiedJanuary 15, 2026
✔ NPI 1124996848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · F312574-01

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Komal Shaheen Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6103307046
PECOS Enrollment IDI20260227002222
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Komal Shaheen reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
2626 HALPERIN AVE
Bronx, NY 10461
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Bronx Medical Practice PC
  • 1,013 clinicians in this Medicare group
Legal Medicine
2015 GRAND CONCOURSE
Bronx, NY 10453
  • Reassigned Medicare billing, New York enrollment
  • 1,393 clinicians in this Medicare group
Urgent Care
1550 UNIVERSITY AVE
Bronx, NY 10452
  • Reassigned Medicare billing, New York enrollment
  • 683 clinicians in this Medicare group
Internal Medicine
1371 SEABURY AVE
Bronx, NY 10461
  • Reassigned Medicare billing, New York enrollment
  • 1,054 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11235 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Komal Shaheen's NPI number?

The NPI number for Komal Shaheen is 1124996848. It was assigned to this individual provider in the NPPES registry on October 24, 2025.

Where is Komal Shaheen located?

Komal Shaheen practices at 706 Banner Ave #1, Brooklyn, NY 11235. The listed phone number is (718) 368-3092.

What is Komal Shaheen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Komal Shaheen enrolled in Medicare?

Yes. Komal Shaheen is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Komal Shaheen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Komal Shaheen reassigns Medicare benefits to 4 organizations: Bronx Medical Practice P.C. (Bronx, NY), Essen Medical Associates, PC (Bronx, NY), Essen Medical Urgicare, PLLC (Bronx, NY) and House Call Medical Services Of New York, PLLC (Bronx, NY). Each 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 Komal Shaheen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Komal Shaheen was last updated on January 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.