Kulsoom Shah, M.D

NPI: 1114920360

Kulsoom Shah, M.D

Q: What is Kulsoom Shah's NPI number?

Kulsoom Shah's NPI number is 1114920360, a unique 10-digit identifier issued by CMS.

Q: What does Kulsoom Shah specialize in?

Kulsoom Shah specializes in Family Medicine, taxonomy code 207Q00000X.

Q: Where does Kulsoom Shah practice?

Kulsoom Shah practices in Stony Brook, NY 11794-0001.

Q: When was Kulsoom Shah's NPI issued?

Kulsoom Shah's NPI was issued on May 23, 2005.

Q: What is Kulsoom Shah's provider type?

Kulsoom Shah is an Individual Provider under CMS NPI Type 1.

ActiveIndividual ProviderFamily Medicine

NPI issued: May 23, 2005

Quick Facts

NPI Number

1114920360

TypeIndividual

StatusActive

SpecialtyFamily Medicine

Taxonomy207Q00000X — Family Medicine

Phone

(631) 632-6740

StateNY

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1114920360)

✅Active status confirmed

✅Verified by CMS NPPES Registry

✅HIPAA compliant identifier

✅Enumeration date on file (May 23, 2005)

Data source: CMS NPPES

Provider Overview

KULSOOM SHAH, M.D is a Family Medicine provider based in Stony Brook, NY who has been registered with CMS since 2005. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1114920360

Provider TypeIndividual Provider

GenderFemale

CredentialM.D

StatusActive

Enumeration DateMay 23, 2005

Practice Location

CityStony Brook

StateNY

ZIP Code11794-0001

Phone(631) 632-6740

Specialties & Licenses

★ Primary

SpecialtyFamily Medicine

Taxonomy Code207Q00000X

License StateNY

Mailing Address

CityStony Brook

StateNY

ZIP Code11794-0001

Phone(631) 632-6740

Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1114920360 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1114920360for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1114920360 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Family Medicine

Family Medicine physicians provide comprehensive primary care to patients of all ages, managing acute illnesses, tracking chronic conditions, and emphasizing preventive healthcare.

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