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DR. SHUJAAT QAYYUM M.D.
NPI 1477676138
Psychiatry & Neurology - Child & Adolescent Psychiatry in Katonah, NY

Active since April 09, 2007PECOS EnrolledAccepts Medicare Assignment
800 CROSS RIVER RD, KATONAH, NY 10536(914) 763-8151(800) 533-1994 Get Directions Write a Review

NPPES record last updated: May 20, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Shujaat Qayyum M.d. NPPES

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

DR. SHUJAAT QAYYUM M.D. (NPI 1477676138) is an individual child & adolescent psychiatry provider in Katonah, New York, licensed in New York (239091) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1989).

NPPES Registry Identity

NPI1477676138
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameDR. SHUJAAT QAYYUMCredential: M.D.
Location Address800 CROSS RIVER RDKatonah, NY 10536-3549
Mailing Address580 White Plains Rd Ste 510Tarrytown, NY 10591-5152 · (914) 345-5900
Phone(914) 763-8151
Fax(800) 533-1994
Sole ProprietorYes
Medical School CMSOtherGraduated 1989
Enumeration DateApril 9, 2007
Last NPPES UpdateMay 20, 2020
NPPES CertifiedMay 20, 2020
✔ NPI 1477676138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in NY · 239091
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
800 CROSS RIVER RD, Katonah, NY 10536
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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 and accepts Medicare assignment

Dr. Shujaat Qayyum M.d. 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 ID3870666589
PECOS Enrollment IDI20210219000251
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 Shujaat Qayyum reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Preventive Measures, LLC
107 mi
Community/Behavioral Health
515 W LINDEN ST LOWR LEVEL
Allentown, PA 18101
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 8 clinicians in this Medicare group
NPI 1235470857 (484) 225-4323

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

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.

DR. JOHN PETER GEBRANE MD
Psychiatry & Neurology (Geriatric Psychiatry)
800 CROSS RIVER RD
KATONAH, NY 10536
Westchester County (914) 763-8151
MS. KATHRYN J. MCDONNELL DNP, PMHNP, FNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
800 CROSS RIVER RD
KATONAH, NY 10536
Westchester County (914) 763-8151
DR. SARAH DEVORA KLAGSBRUN M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
800 CROSS RIVER RD
KATONAH, NY 10536
Westchester County (914) 763-8151
MR. TYLER DANE ANDREOZZI LMSW
Social Worker
800 CROSS RIVER RD
KATONAH, NY 10536
Westchester County (914) 763-8151
BARBARA ROSE GREENBERG PHD
Psychologist (Clinical)
800 CROSS RIVER RD
KATONAH, NY 10536
Westchester County (914) 763-8151
MR. STEVEN NICHOLAS VIOLA LCSW
Social Worker (Clinical)
800 CROSS RIVER RD
KATONAH, NY 10536
Westchester County (914) 763-8151
MRS. JEWEL BARBOZA NPP
Nurse Practitioner (Psychiatric/Mental Health)
800 CROSS RIVER RD
KATONAH, NY 10536
Westchester County (914) 763-8151
ARIEL PARKER
Clinical Nurse Specialist (Psychiatric/Mental Health)
800 CROSS RIVER RD
KATONAH, NY 10536
Westchester County (914) 763-8151

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 Shujaat Qayyum's NPI number?

The NPI number for Shujaat Qayyum is 1477676138. It was assigned to this individual provider in the NPPES registry on April 9, 2007.

Where is Shujaat Qayyum located?

Shujaat Qayyum practices at 800 Cross River Rd, Katonah, NY 10536. The listed phone number is (914) 763-8151.

What is Shujaat Qayyum's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Shujaat Qayyum enrolled in Medicare?

Yes. Shujaat Qayyum 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 organization bills Medicare for Shujaat Qayyum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shujaat Qayyum reassigns Medicare benefits to Preventive Measures, LLC (Allentown, 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 Shujaat Qayyum'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 Shujaat Qayyum was last updated on May 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.