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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. SUNIL SHAH MD
NPI 1164878310
Emergency Medicine in Glen Cove, NY

Active since May 06, 2016PECOS Enrolled
91.25/100
CMS Quality Rating
101 ST. ANDREWS LANE, GLEN COVE HOSPITAL, GLEN COVE, NY 11542(516) 674-7631(516) 674-7639 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2026, Jun 12, 2019, May 19, 2019 (3 updates tracked since 2019).

About Dr. Sunil Shah Md NPPES

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

DR. SUNIL SHAH MD (NPI 1164878310) is an individual emergency medicine provider in Glen Cove, New York, licensed in New York (299557) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164878310
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. SUNIL SHAHCredential: MD
Location Address101 ST. ANDREWS LANE, GLEN COVE HOSPITALGlen Cove, NY 11542
Mailing Address101 St. Andrews Lane, Glen Cove HospitalGlen Cove, NY 11542 · (516) 674-7300 · Fax (516) 674-7374
Phone(516) 674-7631
Fax(516) 674-7639
Sole ProprietorNo
Enumeration DateMay 6, 2016
Last NPPES UpdateJuly 15, 20263 updates tracked since enumeration
NPPES CertifiedJuly 15, 2026
✔ NPI 1164878310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NY · 299557
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedHospitalistTaxonomy 208M00000X · License 299557 (NY)
101 ST. ANDREWS LANE, Glen Cove, NY 11542
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sunil Shah Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 11542 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.

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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$14.89 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers15 claims15 services$2.96 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers24 claims24 services$59.67 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$27.35 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

XIAN LI MD
Hospitalist
101 ST. ANDREWS LANE, NSLIJ-GLEN COVE HOSPITAL
GLEN COVE, NY 11542
Nassau County (516) 674-7631
CELESTE SPENCER-HOLMES
Psychiatry & Neurology (Psychiatry)
101 ST. ANDREWS LANE, GLEN COVE HOSPITAL-COMMUNITY HOUSE
GLEN COVE, NY 11542
Nassau County (516) 674-7972
MR. AYAL SEGAL MD
Orthopaedic Surgery
101 ST. ANDREWS LANE, GLEN COVE HOSPITAL-DEPT OF ORTHOPEDICS
GLEN COVE, NY 11542
Nassau County (516) 674-1733
LARA REDA
Emergency Medicine
101 ST. ANDREWS LANE, GLEN COVE HOSPITAL-DEPT OF EMER MED
GLEN COVE, NY 11542
Nassau County (516) 674-7325
DAVID TSE
Family Medicine
101 ST. ANDREWS LANE, NSLIJ-GLEN COVE HOSPITAL
GLEN COVE, NY 11542
Nassau County (516) 674-7631
ALDO ALLEVA MD
Family Medicine
101 ST. ANDREWS LANE, NSLIJ-GLEN COVE HOSPITAL
GLEN COVE, NY 11542
Nassau County (516) 674-7631
ARTHUR YAZHEMSKIY MD
Family Medicine
101 ST. ANDREWS LANE, NORTHWELL HEALTH - GLEN COVE HOSPITAL
GLEN COVE, NY 11542
Nassau County (516) 674-7631
DR. MARYANNE CRONIN PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
101 ST. ANDREWS LANE
GLEN COVE, NY 11542
Nassau County (516) 674-7780

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 Sunil Shah's NPI number?

The NPI number for Sunil Shah is 1164878310. It was assigned to this individual provider in the NPPES registry on May 6, 2016.

Where is Sunil Shah located?

Sunil Shah practices at 101 St. Andrews Lane Glen Cove Hospital, Glen Cove, NY 11542. The listed phone number is (516) 674-7631.

What is Sunil Shah's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Sunil Shah enrolled in Medicare?

Yes. Sunil Shah is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sunil Shah was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.