SHAHEEN FATIMA ALI M.D.
NPI 1154778579
Psychiatry & Neurology - Psychiatry in New York, NY

Active since May 16, 2016PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
274 MADISON AVE RM 1501, NEW YORK, NY 10016(212) 203-1773(646) 665-4427 Get Directions Write a Review

NPPES record last updated: July 10, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 10, 2025, Nov 9, 2021, Jun 24, 2020 and 1 more (4 updates tracked since 2016).

About Shaheen Fatima Ali M.d. NPPES

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

SHAHEEN FATIMA ALI M.D. (NPI 1154778579) is an individual psychiatry provider in New York, New York, licensed in New York (303560) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1154778579
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameSHAHEEN FATIMA ALICredential: M.D.
Location Address274 MADISON AVE RM 1501New York, NY 10016-0701
Mailing Address274 Madison Ave Rm 1501New York, NY 10016-0701 · (212) 203-1773 · Fax (646) 665-4427
Fax(646) 665-4427
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 16, 2016
Last NPPES UpdateJuly 10, 20254 updates tracked since enumeration
NPPES CertifiedJuly 10, 2025
NPI 1154778579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in NY · 303560
Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

274 MADISON AVE RM 1501, New York, NY 10016

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Shaheen Fatima Ali M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143514943
PECOS Enrollment IDI20210826002873, I20260113001697
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10016 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
$198.19 typical visit price
range $65.69 – $198.19
Typical copayment $49.54 (range $16.42 – $49.54)
Most-billed visit code 99205
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

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.

Social Worker (Clinical)
274 MADISON AVE RM 1501
NEW YORK, NY 10016
Social Worker (Clinical)
274 MADISON AVE RM 1501
NEW YORK, NY 10016
Social Worker (Clinical)
274 MADISON AVE RM 1501
NEW YORK, NY 10016
Nurse Practitioner (Psychiatric/Mental Health)
274 MADISON AVE RM 1501
NEW YORK, NY 10016
Nurse Practitioner (Psychiatric/Mental Health)
274 MADISON AVE RM 1501
NEW YORK, NY 10016
Nurse Practitioner (Psychiatric/Mental Health)
274 MADISON AVE RM 1501
NEW YORK, NY 10016
Nurse Practitioner (Psychiatric/Mental Health)
274 MADISON AVE RM 1501
NEW YORK, NY 10016
Nurse Practitioner (Psychiatric/Mental Health)
274 MADISON AVE RM 1501
NEW YORK, NY 10016

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 Shaheen Ali's NPI number?

The NPI number for Shaheen Ali is 1154778579. It was assigned to this individual provider in the NPPES registry on May 16, 2016.

Where is Shaheen Ali located?

Shaheen Ali practices at 274 Madison Ave Rm 1501, New York, NY 10016. The listed phone number is (212) 203-1773.

What is Shaheen Ali's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Shaheen Ali enrolled in Medicare?

Yes. Shaheen Ali is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Shaheen Ali accept?

Health plans from Oscar Health Maintenance Organization of Florida, Providence Health Plan and UnitedHealthcare list Shaheen Ali as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shaheen Ali was last updated on July 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.