AMIE SHAH
NPI 1912323098
Dentist - Pediatric Dentistry in Holbrook, NY

Active since March 12, 2014Opted out of Medicare · through Jul 8, 2028
315 MAIN ST STE 315-I, HOLBROOK, NY 11741(267) 210-1847 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Mar 17, 2018, Aug 10, 2017 (2 updates tracked since 2017).

About Amie Shah NPPES

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

AMIE SHAH (NPI 1912323098) is an individual pediatric dentistry provider in Holbrook, New York, licensed in New York (058278) and active in the NPI registry since March 2014. She has opted out of Medicare through July 8, 2028 and remains eligible to order and refer and maintains a secondary practice location in Hillsborough.

NPPES Registry Identity

NPI1912323098
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameAMIE SHAH
Location Address315 MAIN ST STE 315-IHolbrook, NY 11741-1524
Mailing Address140 Addis DrChurchville, PA 18966-1170
Sole ProprietorYes
Enumeration DateMarch 12, 2014
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
NPI 1912323098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in NY · 058278
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedDentistTaxonomy 122300000X · License 058278 (NY)
315 MAIN ST STE 315-I, Holbrook, NY 11741

Secondary Practice Location 1

Location 1390 Amwell Rd Bldg 2Hillsborough, NJ 08844-1225 · Phone (267) 210-1847

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Amie Shah 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 July 8, 2022 through July 8, 2028.

Opt-Out Effective DateJuly 8, 2022
Opt-Out In Effect ThroughJuly 8, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11741 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

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

Dentist (Pediatric Dentistry)
315 MAIN ST STE 315-I
HOLBROOK, NY 11741

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 Amie Shah's NPI number?

The NPI number for Amie Shah is 1912323098. It was assigned to this individual provider in the NPPES registry on March 12, 2014.

Where is Amie Shah located?

Amie Shah practices at 315 Main St Ste 315-I, Holbrook, NY 11741. The listed phone number is (267) 210-1847.

What is Amie Shah's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Amie Shah enrolled in Medicare?

No. Amie Shah has opted out of Medicare through July 8, 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.

What insurance does Amie Shah accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 5 other insurers list Amie Shah as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Amie Shah was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.