JAANKI SHAH
NPI 1619618329
Family Medicine - Adult Medicine in Woodbury, NY
About Jaanki Shah NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAANKI SHAH (NPI 1619618329) is an individual adult medicine provider in Woodbury, New York, licensed in New York (336606) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
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
Jaanki Shah 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.
Medicare Billing Reassignment
Medicare enrollment records show Jaanki Shah reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Great Neck, NY 11021
- Reassigned Medicare billing, New York enrollment
- 9,353 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
North Shore University Hospital
Acute Care Hospitals · Manhasset, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11797 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jaanki Shah's NPI number?
The NPI number for Jaanki Shah is 1619618329. It was assigned to this individual provider in the NPPES registry on April 5, 2022.
Where is Jaanki Shah located?
Jaanki Shah practices at 155 Froehlich Farm Blvd, Woodbury, NY 11797. The listed phone number is (516) 588-9077.
What is Jaanki Shah's specialty?
The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.
Is Jaanki Shah enrolled in Medicare?
Yes. Jaanki Shah 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 Jaanki Shah's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jaanki Shah 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 Jaanki Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Jaanki Shah affiliated with any hospitals?
According to CMS data, Jaanki Shah is affiliated with North Shore University Hospital.
When was this NPI record last updated?
The NPPES record for Jaanki Shah was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Jaanki Shah · NPI 1619618329
Adult Medicine physician in Woodbury, New York. Individual provider, active in the CMS NPPES registry since April 5, 2022.
## Identity
- **NPI:** 1619618329 (Entity type: Individual)
- **Enumerated:** April 5, 2022
- **Primary specialty:** Family Medicine - Adult Medicine · taxonomy 207QA0505X
- **State license:** 336606 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 155 FROEHLICH FARM BLVD, Woodbury, NY 11797-2906
- **Phone:** (516) 588-9077
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** North Shore-Lij Medical PC (NPI 1053688572, Great Neck, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** April 30, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1619618329) · Data from the CMS NPPES public registry.