NEW YORK MEDICINE GASTROENTEROLOGY PLLC
NPI 1164245080
Internal Medicine - Gastroenterology in Levittown, NY
About New York Medicine Gastroenterology Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NEW YORK MEDICINE GASTROENTEROLOGY PLLC (NPI 1164245080), doing business as The Gastroenterology Practice In Levittown, is a healthcare organization registered as a gastroenterology in Levittown, New York and active in the NPI registry since November 2024. The organization holds a CLIA Certificate of Compliance certificate valid through December 4, 2027 and lists Mitanshu Shah, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
New York Medicine Gastroenterology Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to New York Medicine Gastroenterology PLLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Compliance 33D2325342
New York Medicine Gastroenterology PLLC · Levittown, NYFrequently 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 New York Medicine Gastroenterology PLLC's NPI number?
The NPI number for New York Medicine Gastroenterology PLLC is 1164245080. It was assigned to this organization in the NPPES registry on November 7, 2024. The provider is doing business as The Gastroenterology Practice in Levittown.
Where is New York Medicine Gastroenterology PLLC located?
New York Medicine Gastroenterology PLLC is located at 2900 Hempstead Tpke Ste 203, Levittown, NY 11756. The listed phone number is (917) 238-8415.
What is New York Medicine Gastroenterology PLLC's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.
Is New York Medicine Gastroenterology PLLC enrolled in Medicare?
Yes. New York Medicine Gastroenterology PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through New York Medicine Gastroenterology PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to New York Medicine Gastroenterology PLLC, in Gastroenterology and Pathology. 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does New York Medicine Gastroenterology PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 33D2325342) is associated with this NPI, valid through December 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for New York Medicine Gastroenterology PLLC was last updated on November 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# New York Medicine Gastroenterology Pllc · NPI 1164245080
Gastroenterology organization in Levittown, New York. Organization record, active in the CMS NPPES registry since November 7, 2024.
## Identity
- **NPI:** 1164245080 (Entity type: Organization)
- **Enumerated:** November 7, 2024
- **Primary specialty:** Internal Medicine - Gastroenterology · taxonomy 207RG0100X
- **Also known as:** The Gastroenterology Practice in Levittown (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Mitanshu Shah, OWNER
## Practice location
- **Address:** 2900 HEMPSTEAD TPKE STE 203, Levittown, NY 11756-1401
- **Phone:** (917) 238-8415
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Gastroenterology (2), Pathology (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 7, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1164245080) · Data from the CMS NPPES public registry.