MISS RAIDA SHAH MD
NPI 1356927172
Student in an Organized Health Care Education/Training Program in Port Jefferson, NY

Q: What is Raida Shah's NPI number?

The NPI number for Raida Shah is 1356927172. It was assigned to this individual provider in the NPPES registry on March 22, 2021.

Q: What is Raida Shah's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Raida Shah was last updated on March 22, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 22, 2021PECOS Enrolled

75 N COUNTRY RD, PORT JEFFERSON, NY 11777(631) 686-1443(631) 686-7651 Get Directions Write a Review

NPPES record last updated: March 22, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Miss Raida Shah Md NPPES

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

MISS RAIDA SHAH MD (NPI 1356927172) is an individual student in an organized health care education/training program in Port Jefferson, New York and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356927172

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameMISS RAIDA SHAHCredential: MD

Location Address75 N COUNTRY RDPort Jefferson, NY 11777-2119

Mailing Address75 N Country RdPort Jefferson, NY 11777-2119 · (631) 686-1443 · Fax (631) 686-7651

Phone(631) 686-1443

Fax(631) 686-7651

Sole ProprietorNo

Enumeration DateMarch 22, 2021

NPPES CertifiedMarch 22, 2021

✔ NPI 1356927172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

75 N COUNTRY RD, Port Jefferson, NY 11777

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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)

Miss Raida 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.

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