Kulsoom Shah, M.D
NPI 1114920360 · Family Medicine Physician · Stony Brook, NY
Enrolled with Medicare as Order and Referring Only - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kulsoom Shah, M.D is a Family Medicine Physician provider in Stony Brook, NY (NPI 1114920360).
Provider details
- NPI number
- 1114920360
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D
- Sex
- Female
- License
- 224192-1 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
21 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-05-23
- Last updated
- 2007-07-08
Frequently asked questions
- What is Kulsoom Shah's NPI number?
- Kulsoom Shah's National Provider Identifier (NPI) is 1114920360, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kulsoom Shah's specialty?
- Kulsoom Shah is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Kulsoom Shah located?
- Kulsoom Shah's practice location on file with NPPES is 1 Stadium Rd,student Health Center,stonybrook Univ, Stony Brook, NY 11794-0001.
- What is Kulsoom Shah's phone number?
- The practice phone number listed in the NPPES registry for Kulsoom Shah is (631) 632-6740.
- Does Kulsoom Shah accept Medicare?
- Kulsoom Shah is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kulsoom Shah's NPI active?
- Yes — Kulsoom Shah's NPI (1114920360) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.