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KANZA SHAMIM MD
NPI 1558004689
Internal Medicine in Plainview, NY

Active since April 17, 2022PECOS Enrolled
888 OLD COUNTRY RD, PLAINVIEW, NY 11803(516) 719-3000 Get Directions Write a Review

NPPES record last updated: November 26, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 26, 2025, Apr 17, 2022 (2 updates tracked since 2022).

About Kanza Shamim Md NPPES

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

KANZA SHAMIM MD (NPI 1558004689) is an individual internal medicine provider in Plainview, New York, licensed in New York (338032) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1558004689
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameKANZA SHAMIMCredential: MD
Location Address888 OLD COUNTRY RDPlainview, NY 11803-4914
Mailing Address1111 Marcus Ave Ste M04New Hyde Park, NY 11042-1034 · (585) 736-3650
Phone(516) 719-3000
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateApril 17, 2022
Last NPPES UpdateNovember 26, 20252 updates tracked since enumeration
NPPES CertifiedNovember 26, 2025
✔ NPI 1558004689 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 · 338032
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.
888 OLD COUNTRY RD, Plainview, NY 11803
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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)

Kanza Shamim Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5395221972
PECOS Enrollment IDI20260114000231
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 Kanza Shamim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

North Shore-Lij Medical PC
12 mi
Urology
1010 NORTHERN BLVD STE 110
Great Neck, NY 11021
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
NPI 1053688572 (516) 321-7400

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 11803 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

SKYE FELICE DO
Hospitalist
888 OLD COUNTRY RD
PLAINVIEW, NY 11803
Nassau County (516) 719-3000
PLAINVIEW MEDICAL CENTER
General Acute Care Hospital
888 OLD COUNTRY RD
PLAINVIEW, NY 11803
Nassau County (415) 317-5382
DR. JUSTIN CHACKO D.O.
Student in an Organized Health Care Education/Training Program
888 OLD COUNTRY RD
PLAINVIEW, NY 11803
Nassau County (516) 719-3000
AMRINDER JAWANDHA PA-C
Physician Assistant (Surgical)
888 OLD COUNTRY RD
PLAINVIEW, NY 11803
Nassau County (516) 719-3000
DR. EVAN GREEN D.O.
Orthopaedic Surgery (Orthopaedic Trauma)
888 OLD COUNTRY RD
PLAINVIEW, NY 11803
Nassau County (760) 490-7392
ALEXANDRA CERONE
Dietitian, Registered
888 OLD COUNTRY RD
PLAINVIEW, NY 11803
Nassau County (516) 719-3000
KUSHKARAN KAUR DPM
Podiatrist (Foot & Ankle Surgery)
888 OLD COUNTRY RD
PLAINVIEW, NY 11803
Nassau County (732) 281-4583
MICHAEL ATALLAH DO
Student in an Organized Health Care Education/Training Program
888 OLD COUNTRY RD
PLAINVIEW, NY 11803
Nassau County (516) 719-3000

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 Kanza Shamim's NPI number?

The NPI number for Kanza Shamim is 1558004689. It was assigned to this individual provider in the NPPES registry on April 17, 2022.

Where is Kanza Shamim located?

Kanza Shamim practices at 888 Old Country Rd, Plainview, NY 11803. The listed phone number is (516) 719-3000.

What is Kanza Shamim's specialty?

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

Is Kanza Shamim enrolled in Medicare?

Yes. Kanza Shamim is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kanza Shamim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kanza Shamim reassigns Medicare benefits to North Shore-Lij Medical PC (Great Neck, NY). 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 Kanza Shamim'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 Kanza Shamim was last updated on November 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.