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YOUSUF HUSSAIN SHAH
NPI 1295420958
Internal Medicine in Binghamton, NY

Active since April 10, 2023PECOS Enrolled
169 RIVERSIDE DR, BINGHAMTON, NY 13905(607) 798-5111 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 23, 2023, Apr 10, 2023 (2 updates tracked since 2023).

About Yousuf Hussain Shah NPPES

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

YOUSUF HUSSAIN SHAH (NPI 1295420958) is an individual internal medicine provider in Binghamton, New York, licensed in New York (340573) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2023).

NPPES Registry Identity

NPI1295420958
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameYOUSUF HUSSAIN SHAH
Location Address169 RIVERSIDE DRBinghamton, NY 13905-4246
Mailing Address169 Riverside DrBinghamton, NY 13905-4246 · (607) 798-5111
Phone(607) 798-5111
Sole ProprietorNo
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 2023
Enumeration DateApril 10, 2023
Last NPPES UpdateJune 24, 20262 updates tracked since enumeration
NPPES CertifiedJune 24, 2026
✔ NPI 1295420958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 340573
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
169 RIVERSIDE DR, Binghamton, NY 13905
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Yousuf Hussain Shah is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID143689224
PECOS Enrollment IDI20260811002952
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 Reassignment

Medicare enrollment records show Yousuf Shah reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Guthrie Medical Group, P.C.
31 mi
General Practice
1 GUTHRIE SQ
Sayre, PA 18840
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Guthrie Medical Group PC
  • 798 clinicians in this Medicare group
NPI 1245246644 (570) 888-5858

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13905 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

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.

JOANN MARIE ERNST FNP
Nurse Practitioner (Family)
169 RIVERSIDE DR
BINGHAMTON, NY 13905
Broome County (607) 798-6701
ALISON BROOKHART MS, FNP-C
Nurse Practitioner
169 RIVERSIDE DR
BINGHAMTON, NY 13905
Broome County (607) 798-5111
MISS JENNIFER LYNN HOPKINS NP
Nurse Practitioner (Adult Health)
169 RIVERSIDE DR
BINGHAMTON, NY 13905
Broome County (607) 798-5111
AYESHA MUNIR MD
Student in an Organized Health Care Education/Training Program
169 RIVERSIDE DR
BINGHAMTON, NY 13905
Broome County (607) 798-5725
FAIZA CHOUDHRY
Student in an Organized Health Care Education/Training Program
169 RIVERSIDE DR
BINGHAMTON, NY 13905
Broome County (607) 789-5725
CARLEE PETERSON FNP
Nurse Practitioner (Family)
169 RIVERSIDE DR
BINGHAMTON, NY 13905
Broome County (607) 798-6166
SYDNEY MARIE LAURIA
Licensed Practical Nurse
169 RIVERSIDE DR
BINGHAMTON, NY 13905
Broome County (607) 798-5231
JAMES R STEINMETZ M.D.
Urology
169 RIVERSIDE DR, DEPAUL PAVILION
BINGHAMTON, NY 13905
Broome County (607) 729-7666

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 Yousuf Shah's NPI number?

The NPI number for Yousuf Shah is 1295420958. It was assigned to this individual provider in the NPPES registry on April 10, 2023.

Where is Yousuf Shah located?

Yousuf Shah practices at 169 Riverside Dr, Binghamton, NY 13905. The listed phone number is (607) 798-5111.

What is Yousuf Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Yousuf Shah enrolled in Medicare?

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

Which organization bills Medicare for Yousuf Shah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Yousuf Shah reassigns Medicare benefits to Guthrie Medical Group, P.C. (Sayre, PA). The 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 Yousuf Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Yousuf Shah was last updated on June 24, 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.