JATIN P SHAH MD
NPI 1780664987
Surgery in New York, NY
About Jatin P Shah Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JATIN P SHAH MD (NPI 1780664987) is an individual surgery provider in New York, New York, licensed in New York (117856) and active in the NPI registry since January 2006. He has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Jatin P Shah Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2014 through January 1, 2028.
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.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
NEW YORK, NY 10021
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 Jatin Shah's NPI number?
The NPI number for Jatin Shah is 1780664987. It was assigned to this individual provider in the NPPES registry on January 23, 2006.
Where is Jatin Shah located?
Jatin Shah practices at 1275 York Ave, New York, NY 10021. The listed phone number is (212) 639-7604.
What is Jatin Shah's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Jatin Shah enrolled in Medicare?
No. Jatin Shah has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Jatin Shah was last updated on April 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Jatin P Shah, MD · NPI 1780664987
Surgery physician in New York, New York. Individual provider, active in the CMS NPPES registry since January 23, 2006.
## Identity
- **NPI:** 1780664987 (Entity type: Individual)
- **Enumerated:** January 23, 2006
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 117856 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1275 YORK AVE, New York, NY 10021-6007
- **Phone:** (212) 639-7604
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through January 1, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** April 7, 2015
- **Other identifiers:** Medicare UPIN B79188
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Source: [NPI Profile](https://npiprofile.com/npi/1780664987) · Data from the CMS NPPES public registry.