SUZAN SHIFTEH PA
NPI 1295063246
Physician Assistant - Surgical in Great Neck, NY

Active since December 03, 2009PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
15 BARSTOW RD, GREAT NECK, NY 11021(516) 482-8008 Get Directions Write a Review

NPPES record last updated: December 3, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Suzan Shifteh Pa NPPES

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

SUZAN SHIFTEH PA (NPI 1295063246) is an individual surgical provider in Great Neck, New York, licensed in New York (005457) and active in the NPI registry since December 2009. She is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1295063246
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameSUZAN SHIFTEHCredential: PA
Location Address15 BARSTOW RDGreat Neck, NY 11021-2229
Mailing Address15 Barstow RdGreat Neck, NY 11021-2229
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateDecember 3, 2009
NPI 1295063246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in NY · 005457
15 BARSTOW RD, Great Neck, NY 11021

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

Suzan Shifteh Pa 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 ID7719174523
PECOS Enrollment IDI20101206001041
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 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

Other Providers at the Same Location NPPES 8

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

Pediatrics (Developmental - Behavioral Pediatrics)
15 BARSTOW RD
GREAT NECK, NY 11021
Counselor (Mental Health)
15 BARSTOW RD
GREAT NECK, NY 11021
Chiropractor
15 BARSTOW RD
GREAT NECK, NY 11021
Physician Assistant
15 BARSTOW RD, SUITE 105
GREAT NECK, NY 11021
Clinic/Center (Physical Therapy)
15 BARSTOW RD
GREAT NECK, NY 11021
Psychiatry & Neurology (Psychiatry)
15 BARSTOW RD
GREAT NECK, NY 11021
Psychiatry & Neurology (Neurology)
15 BARSTOW RD
GREAT NECK, NY 11021
Specialist
15 BARSTOW RD
GREAT NECK, NY 11021

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 Suzan Shifteh's NPI number?

The NPI number for Suzan Shifteh is 1295063246. It was assigned to this individual provider in the NPPES registry on December 3, 2009.

Where is Suzan Shifteh located?

Suzan Shifteh practices at 15 Barstow Rd, Great Neck, NY 11021. The listed phone number is (516) 482-8008.

What is Suzan Shifteh's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Suzan Shifteh enrolled in Medicare?

Yes. Suzan Shifteh 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.

When was this NPI record last updated?

The NPPES record for Suzan Shifteh was last updated on December 3, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.