| Samit N Shah, MD | |
|
711 Troy Schenectady Rd, Suite 114, Latham, NY 12110-2442 | |
| (518) 786-1600 | |
| (518) 786-1606 |
| Full Name | Samit N Shah |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 16 Years |
| Location | 711 Troy Schenectady Rd, Latham, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073742011 | NPI | - | NPPES |
| 04152961 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 278721 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Columbia Memorial Hospital | Hudson, NY | Hospital |
| Albany Medical Center Hospital | Albany, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Columbia Memorial Hospital | 5092709410 | 171 |
| Community Care Physicians Pllc | 8022904473 | 349 |
| Albany Medical Center Hospital | 8224018999 | 45 |
| Columbia Memorial Hospital | 5092709410 | 171 |
| Community Care Physicians Pllc | 8022904473 | 349 |
| Albany Medical Center Hospital | 8224018999 | 45 |
| Charter Radiology Llc | 8426287087 | 5 |
| Entity Name | Ellis Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487644993 PECOS PAC ID: 5890607410 Enrollment ID: O20031103000406 |
| Entity Name | Columbia Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083639587 PECOS PAC ID: 5092709410 Enrollment ID: O20040409000109 |
| Entity Name | Albany Medical College |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982634804 PECOS PAC ID: 1759293111 Enrollment ID: O20040722001091 |
| Entity Name | Albany Medical Center Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609806520 PECOS PAC ID: 8224018999 Enrollment ID: O20040722001140 |
| Entity Name | Community Care Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922048370 PECOS PAC ID: 8022904473 Enrollment ID: O20080130000272 |
| Entity Name | Albany Medical College |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497921688 PECOS PAC ID: 1759293111 Enrollment ID: O20190320001621 |
| Mailing Address | Practice Location Address |
|---|---|
| Samit N Shah, MD 711 Troy Schenectady Rd, Suite 203, Latham, NY 12110-2442 Ph: (518) 782-3700 | Samit N Shah, MD 711 Troy Schenectady Rd, Suite 114, Latham, NY 12110-2442 Ph: (518) 786-1600 |
Carlton Phelps, Radiology Medicare: Medicare Enrolled Practice Location: 711 Troy Schenectady Rd, Suite 114, Latham, NY 12110 Phone: 518-786-1600 | |
Lisa Ribons, Radiology Medicare: Accepting Medicare Assignments Practice Location: 6 Wellness Way Ste G06, Latham, NY 12110 Phone: 518-786-1600 Fax: 518-786-1606 | |
Phuong Vinh, Radiology Medicare: Accepting Medicare Assignments Practice Location: 711 Troy Schenectady Rd, Suite 114, Latham, NY 12110 Phone: 518-786-1600 | |
Rupal Patel, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 711 Troy Schenectady Rd, 114, Latham, NY 12110 Phone: 518-786-1600 | |
Allen Herr, Radiology Medicare: Accepting Medicare Assignments Practice Location: Crhp-711 Troy-schenectady Road, Suite 114, Latham, NY 12110 Phone: 518-786-1600 | |
Ellen Czajka, Radiology Medicare: Not Enrolled in Medicare Practice Location: 711 Troy Schenectady Rd, Suite 114, Latham, NY 12110 Phone: 518-786-1600 |