ANISH A SHAH M.D.
NPI 1770970600
Surgery in Roslyn Heights, NY

Q: What is Anish Shah's NPI number?

The NPI number for Anish Shah is 1770970600. It was assigned to this individual provider in the NPPES registry on April 17, 2015.

Q: What is Anish Shah's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Anish Shah was last updated on July 25, 2022. 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.

Active since April 17, 2015PECOS EnrolledAccepts Medicare Assignment

125 MINEOLA AVE STE 200, ROSLYN HEIGHTS, NY 11577(800) 633-8446 Get Directions Write a Review

NPPES record last updated: July 25, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 25, 2022, Dec 17, 2020, Aug 7, 2020 (3 updates tracked since 2020).

On this page

About Anish A Shah M.d. NPPES

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

ANISH A SHAH M.D. (NPI 1770970600) is an individual surgery provider in Roslyn Heights, New York, licensed in North Carolina (2020-03340) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with St Charles Hospital, and is a graduate of Icahn School Of Medicine At Mount Sinai (2015).

NPPES Registry Identity

NPI1770970600

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameANISH A SHAHCredential: M.D.

Location Address125 MINEOLA AVE STE 200Roslyn Heights, NY 11577-2042

Mailing Address125 Mineola Ave Ste 200Roslyn Heights, NY 11577-2042

Phone(800) 633-8446

Sole ProprietorNo

Medical School CMSIcahn School Of Medicine At Mount SinaiGraduated 2015

Enumeration DateApril 17, 2015

Last NPPES UpdateJuly 25, 20223 updates tracked since enumeration

NPPES CertifiedJuly 25, 2022

✔ NPI 1770970600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in NC · 2020-03340

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

125 MINEOLA AVE STE 200, Roslyn Heights, NY 11577

Open in Google Maps ↗

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

Anish A Shah 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 ID7214264993

PECOS Enrollment IDI20210811001641

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 Reassignments

Medicare enrollment records show Anish Shah reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Long Island Minimally Invasive Surgery, P.C.

Same address

Specialist

125 MINEOLA AVE, SUITE 200
Roslyn Heights, NY 11577

Reassigned Medicare billing, New York enrollment
Medicare enrollment name: Long Island Minimally Invasive Surgery PC
37 clinicians in this Medicare group

NPI 1356545867 (516) 616-5500

New York Bariatric Surgery Group PLLC

Same address

Specialist

125 MINEOLA AVE, SUITE 200
Roslyn Heights, NY 11577

Reassigned Medicare billing, New York enrollment
46 clinicians in this Medicare group

NPI 1164898821 (516) 616-5500

North Shore-Lij Medical PC

3.0 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

Good Samaritan Hospital Medical Center

20 mi

Physician Assistant

1000 MONTAUK HWY
West Islip, NY 11795

Reassigned Medicare billing, New York enrollment
395 clinicians in this Medicare group

NPI 1518901180 (631) 376-4027

St. Charles Hospital Corp.

33 mi

General Acute Care Hospital

200 BELLE TERRE RD
Port Jefferson, NY 11777

Reassigned Medicare billing, New York enrollment
210 clinicians in this Medicare group

NPI 1497765630 (631) 474-6000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.

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.

43 services27 patients

Single contrast x-ray of upper digestive tract 74240

A single contrast x-ray of the upper digestive tract is a diagnostic procedure that uses a special dye and x-rays to see how your digestive system is functioning. It helps in detecting abnormalities or diseases in your esophagus, stomach, and the first part of your small intestine.

36 services22 patients

Hospital Affiliations CMS Care Compare 2

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

St Charles Hospital

Acute Care Hospitals · Port Jefferson, NY

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number330246

Location200 Belle Terre RoadPort Jefferson, NY 11777 · Suffolk County

Birthing friendly

Mercy Medical Center

Acute Care Hospitals · Rockville Centre, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number330259

Location1000 North Village AvenueRockville Centre, NY 11570 · Nassau County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11577 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

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 7

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

EDEN BESSALELI PA

Physician Assistant