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

Active since May 06, 2016PECOS EnrolledAccepts Medicare Assignment
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: October 25, 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, is affiliated with Ns/lij Hs Southside Hospital, and is a graduate of Other (2013).

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
Fax(516) 674-7639
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Sunil Shah Md 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 ID1153675707
PECOS Enrollment IDI20190927002555
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 Sunil Shah reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urology
1010 NORTHERN BLVD STE 110
Great Neck, NY 11021
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
Skilled Nursing Facility
378 SYOSSET WOODBURY RD
Woodbury, NY 11797
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Huntington Hospital Association
  • 116 clinicians in this Medicare group
Family Medicine
502 S WELLWOOD AVE
Lindenhurst, NY 11757
  • Reassigned Medicare billing, New York enrollment
  • 348 clinicians in this Medicare group
Cardiovascular Disease
3301 QUANTUM BLVD
Boynton Beach, FL 33426
  • Reassigned Medicare billing, New York enrollment
  • 2,450 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.

Hospital Affiliations CMS Care Compare 3

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

Ns/Lij Hs Southside Hospital

Acute Care Hospitals · Bay Shore, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330043
Location301 East Main StreetBay Shore, NY 11706 · Suffolk County
Emergency services Birthing friendly

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330214
Location550 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

Good Samaritan Hospital Medical Center

Acute Care Hospitals · West Islip, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330286
Location1000 Montauk HighwayWest Islip, NY 11795 · Suffolk County
Emergency services Birthing friendly

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.

Hospitalist
101 ST. ANDREWS LANE, NSLIJ-GLEN COVE HOSPITAL
GLEN COVE, NY 11542
Psychiatry & Neurology (Psychiatry)
101 ST. ANDREWS LANE, GLEN COVE HOSPITAL-COMMUNITY HOUSE
GLEN COVE, NY 11542
Orthopaedic Surgery
101 ST. ANDREWS LANE, GLEN COVE HOSPITAL-DEPT OF ORTHOPEDICS
GLEN COVE, NY 11542
Emergency Medicine
101 ST. ANDREWS LANE, GLEN COVE HOSPITAL-DEPT OF EMER MED
GLEN COVE, NY 11542
Family Medicine
101 ST. ANDREWS LANE, NSLIJ-GLEN COVE HOSPITAL
GLEN COVE, NY 11542
Family Medicine
101 ST. ANDREWS LANE, NSLIJ-GLEN COVE HOSPITAL
GLEN COVE, NY 11542
Family Medicine
101 ST. ANDREWS LANE, NORTHWELL HEALTH - GLEN COVE HOSPITAL
GLEN COVE, NY 11542
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
101 ST. ANDREWS LANE
GLEN COVE, NY 11542

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Sunil Shah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sunil Shah reassigns Medicare benefits to 4 organizations: North Shore-Lij Medical PC (Great Neck, NY), Huntington Hosptial Association (Woodbury, NY), Southwest Suffolk Medical PC (Lindenhurst, NY) and New York University (Boynton Beach, FL). 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 Sunil Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Sunil Shah affiliated with any hospitals?

According to CMS data, Sunil Shah is affiliated with Ns/Lij Hs Southside Hospital, Nyu Langone Hospitals and Good Samaritan Hospital Medical Center.

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 3 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.