SYED MUHAMMAD ALI SHAH
NPI 1164148276
Student in an Organized Health Care Education/Training Program in Brooklyn, NY

Active since October 19, 2022PECOS EnrolledAccepts Medicare Assignment
1 BROOKDALE PLZ, BROOKLYN, NY 11212(718) 613-4000 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 20, 2025, Oct 19, 2022 (2 updates tracked since 2022).

About Syed Muhammad Ali Shah NPPES

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

SYED MUHAMMAD ALI SHAH (NPI 1164148276) is an individual student in an organized health care education/training program in Brooklyn, New York and active in the NPI registry since October 2022. He is enrolled in Medicare PECOS, is affiliated with Jefferson Health- Northeast, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1164148276
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSYED MUHAMMAD ALI SHAH
Location Address1 BROOKDALE PLZBrooklyn, NY 11212-3139
Mailing Address1 Brookdale PlzBrooklyn, NY 11212-3139 · (718) 613-4000
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 19, 2022
Last NPPES UpdateJune 20, 20252 updates tracked since enumeration
NPPES CertifiedJune 20, 2025
NPI 1164148276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD490270 (PA)
1 BROOKDALE PLZ, Brooklyn, NY 11212

Secondary Practice Locations 3

Location 1380 N Oxford Valley RdLanghorne, PA 19047-8304 · Phone (215) 949-5000
Location 24900 Frankford AvePhiladelphia, PA 19124-2618 · Phone (215) 831-2000
Location 310800 Knights RdPhiladelphia, PA 19114-4299 · Phone (215) 612-4000

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

Syed Muhammad Ali Shah 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 ID8527574664
PECOS Enrollment IDI20250724000344
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Jefferson Health- Northeast

Acute Care Hospitals · Philadelphia, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390115
Location10800 Knights RoadPhiladelphia, PA 19114 · Philadelphia County
Emergency services

Thomas Jefferson University Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390174
Location111 South 11th StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

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.

Emergency Medicine
1 BROOKDALE PLZ
BROOKLYN, NY 11212
Radiology (Diagnostic Radiology)
1 BROOKDALE PLZ
BROOKLYN, NY 11212
Emergency Medicine
1 BROOKDALE PLZ
BROOKLYN, NY 11212
Internal Medicine
1 BROOKDALE PLZ
BROOKLYN, NY 11212
Student in an Organized Health Care Education/Training Program
1 BROOKDALE PLZ
BROOKLYN, NY 11212
Student in an Organized Health Care Education/Training Program
1 BROOKDALE PLZ
BROOKLYN, NY 11212
Student in an Organized Health Care Education/Training Program
1 BROOKDALE PLZ
BROOKLYN, NY 11212
Physician Assistant
1 BROOKDALE PLZ, BROOKDALE UNIVERSITY HOSPITAL & MEDICAL CENTER
BROOKLYN, NY 11212

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 Syed Muhammad Ali Shah's NPI number?

The NPI number for Syed Muhammad Ali Shah is 1164148276. It was assigned to this individual provider in the NPPES registry on October 19, 2022.

Where is Syed Muhammad Ali Shah located?

Syed Muhammad Ali Shah practices at 1 Brookdale Plz, Brooklyn, NY 11212. The listed phone number is (718) 613-4000.

What is Syed Muhammad Ali Shah's specialty?

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

Is Syed Muhammad Ali Shah enrolled in Medicare?

Yes. Syed Muhammad Ali Shah 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.

Is Syed Muhammad Ali Shah affiliated with any hospitals?

According to CMS data, Syed Muhammad Ali Shah is affiliated with Jefferson Health- Northeast and Thomas Jefferson University Hospital.

When was this NPI record last updated?

The NPPES record for Syed Muhammad Ali Shah was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.