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SAAD A SHUKRI M.D.
NPI 1487726584
Specialist in East Patchogue, NY

Active since November 14, 2006PECOS EnrolledAccepts Medicare Assignment
629 ROUTE 112 STE 8, EAST PATCHOGUE, NY 11772(631) 447-8697(631) 447-0913 Get Directions Write a Review

NPPES record last updated: May 2, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Saad A Shukri M.d. NPPES

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

SAAD A SHUKRI M.D. (NPI 1487726584) is an individual specialist in East Patchogue, New York, licensed in New York (211205) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with John T Mather Memorial Hospital Of Port Jefferson, and maintains a secondary practice location in East Patchogue.

NPPES Registry Identity

NPI1487726584
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameSAAD A SHUKRICredential: M.D.
Location Address629 ROUTE 112 STE 8East Patchogue, NY 11772-1335
Mailing Address629 Route 112 Ste 8East Patchogue, NY 11772-1335 · (631) 447-8697 · Fax (631) 447-0913
Phone(631) 447-8697
Fax(631) 447-0913
Sole ProprietorYes
Medical School CMSOtherGraduated 1979
Enumeration DateNovember 14, 2006
Last NPPES UpdateMay 2, 2022
NPPES CertifiedMay 2, 2022
✔ NPI 1487726584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 211205
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

629 ROUTE 112 STE 8, East Patchogue, NY 11772
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Secondary Practice Location 1

Location 1286 Sills Rd Ste 3East Patchogue, NY 11772-8810 · Phone (631) 447-8697 · Fax (631) 447-0913

Other Identifiers 1

Medicaid02011287NY

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

Saad A Shukri 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 ID9830184290
PECOS Enrollment IDI20040416000304
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of skin and tissue, each additional 20.0 sq cm or less 11045
This procedure involves the removal of skin and tissue, typically due to disease, injury, or abnormal growth. Each session removes an area of 20.0 square cm or less. It's performed by a trained professional and may require multiple sessions for larger areas.
211 services15 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
187 services51 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
110 services39 patients

Hospital Affiliations CMS Care Compare 2

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

John T Mather Memorial Hospital Of Port Jefferson

Acute Care Hospitals · Port Jefferson, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330185
Location75 North Country RoadPort Jefferson, NY 11777 · Suffolk County
Emergency services

Suny/Stony Brook University Hospital

Acute Care Hospitals · Stony Brook, NY
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330393
LocationHealth Sciences Center SunyStony Brook, NY 11794 · Suffolk County
Emergency services Birthing friendly

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 Saad Shukri's NPI number?

The NPI number for Saad Shukri is 1487726584. It was assigned to this individual provider in the NPPES registry on November 14, 2006.

Where is Saad Shukri located?

Saad Shukri practices at 629 Route 112 Ste 8, East Patchogue, NY 11772. The listed phone number is (631) 447-8697.

What is Saad Shukri's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Saad Shukri enrolled in Medicare?

Yes. Saad Shukri 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.

Is Saad Shukri affiliated with any hospitals?

According to CMS data, Saad Shukri is affiliated with John T Mather Memorial Hospital Of Port Jefferson and Suny/Stony Brook University Hospital.

When was this NPI record last updated?

The NPPES record for Saad Shukri was last updated on May 2, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.