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RAQUEL SHADAN
NPI 1548932767
Physician Assistant in New York, NY

Active since October 05, 2021PECOS EnrolledAccepts Medicare Assignment
1425 2ND AVE, NEW YORK, NY 10021(212) 385-3700 Get Directions Write a Review

NPPES record last updated: November 24, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 24, 2021, Oct 5, 2021 (2 updates tracked since 2021).

About Raquel Shadan NPPES

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

RAQUEL SHADAN (NPI 1548932767) is an individual physician assistant in New York, New York and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1548932767
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameRAQUEL SHADAN
Location Address1425 2ND AVENew York, NY 10021-3304
Mailing Address1425 2nd AveNew York, NY 10021-3304 · (212) 385-3700
Phone(212) 385-3700
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 5, 2021
Last NPPES UpdateNovember 24, 20212 updates tracked since enumeration
NPPES CertifiedNovember 24, 2021
✔ NPI 1548932767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1425 2ND AVE, New York, NY 10021
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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 and accepts Medicare assignment

Raquel Shadan 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 ID4385151992
PECOS Enrollment IDI20250729001871
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10021 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
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 2

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

DR. BEAU DICICCO M.D.
Dermatology
1425 2ND AVE
NEW YORK, NY 10021
New York County (212) 385-3700
HAILEY ALANA BRICKMAN PA-C
Physician Assistant (Medical)
1425 2ND AVE
NEW YORK, NY 10021
New York County (212) 385-3700

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 Raquel Shadan's NPI number?

The NPI number for Raquel Shadan is 1548932767. It was assigned to this individual provider in the NPPES registry on October 5, 2021.

Where is Raquel Shadan located?

Raquel Shadan practices at 1425 2nd Ave, New York, NY 10021. The listed phone number is (212) 385-3700.

What is Raquel Shadan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Raquel Shadan enrolled in Medicare?

Yes. Raquel Shadan 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 Raquel Shadan was last updated on November 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.