SHAETU DATTA M.D.
NPI 1720493141
Psychiatry & Neurology - Neurology in East Meadow, NY

Active since June 24, 2014PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
1530 FRONT ST, EAST MEADOW, NY 11554(516) 520-3053 Get Directions Write a Review

NPPES record last updated: March 22, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 22, 2021, Apr 13, 2020, Nov 23, 2019 (3 updates tracked since 2019).

About Shaetu Datta M.d. NPPES

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

SHAETU DATTA M.D. (NPI 1720493141) is an individual neurology provider in East Meadow, New York, licensed in New York (303785) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1720493141
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameSHAETU DATTACredential: M.D.
Location Address1530 FRONT STEast Meadow, NY 11554-2265
Mailing Address1530 Front StEast Meadow, NY 11554-2265 · (516) 520-3053
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJune 24, 2014
Last NPPES UpdateMarch 22, 20213 updates tracked since enumeration
NPPES CertifiedMarch 22, 2021
NPI 1720493141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in NY · 303785
Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

1530 FRONT ST, East Meadow, NY 11554

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

Shaetu Datta 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 ID7214285980
PECOS Enrollment IDI20200421000246
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 7

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.

Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
16,600 services34 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
106 services71 patients
Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face 64615
This procedure involves injecting a chemical into specific facial and neck muscles, causing temporary paralysis. This helps reduce muscle activity and can alleviate certain medical conditions. Both sides of the face are treated for a balanced result.
83 services34 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
50 services40 patients
Injection of anesthetic agent and/or steroid into upper neck and back of head nerve 64405
This procedure involves injecting a mix of anesthetic and/or steroid into nerves in the upper neck and back of the head. It helps relieve pain by reducing inflammation and numbing the area. It's a common treatment for headaches and neck pain.
41 services22 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
29 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11554 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

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.

Pharmacy
1530 FRONT ST
EAST MEADOW, NY 11554
Pharmacist
1530 FRONT ST
EAST MEADOW, NY 11554
Pharmacist
1530 FRONT ST
EAST MEADOW, NY 11554
Physical Therapist (Neurology)
1530 FRONT ST
EAST MEADOW, NY 11554
Physical Therapist
1530 FRONT ST
EAST MEADOW, NY 11554
Physician Assistant
1530 FRONT ST
EAST MEADOW, NY 11554
Physical Therapist
1530 FRONT ST
EAST MEADOW, NY 11554
Psychiatry & Neurology (Neurology)
1530 FRONT ST
EAST MEADOW, NY 11554

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 Shaetu Datta's NPI number?

The NPI number for Shaetu Datta is 1720493141. It was assigned to this individual provider in the NPPES registry on June 24, 2014.

Where is Shaetu Datta located?

Shaetu Datta practices at 1530 Front St, East Meadow, NY 11554. The listed phone number is (516) 520-3053.

What is Shaetu Datta's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Shaetu Datta enrolled in Medicare?

Yes. Shaetu Datta 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 Shaetu Datta was last updated on March 22, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.