Gennadiy Shamalov, PA
NPI 1174670319 · Surgical Physician Assistant · Briarwood, NY
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Gennadiy Shamalov, PA is a Surgical Physician Assistant provider in Briarwood, NY (NPI 1174670319).
Provider details
- NPI number
- 1174670319
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 008219-1 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
19 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
1 documented practice location
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
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.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$142 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-01-03
- Last updated
- 2012-09-25
Frequently asked questions
- What is Gennadiy Shamalov's NPI number?
- Gennadiy Shamalov's National Provider Identifier (NPI) is 1174670319, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gennadiy Shamalov's specialty?
- Gennadiy Shamalov is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Gennadiy Shamalov located?
- Gennadiy Shamalov's practice location on file with NPPES is 141-23 Hoover Ave, Briarwood, NY 11435-1604.
- What is Gennadiy Shamalov's phone number?
- The practice phone number listed in the NPPES registry for Gennadiy Shamalov is (917) 709-4733.
- Does Gennadiy Shamalov accept Medicare?
- Gennadiy Shamalov is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Gennadiy Shamalov's NPI active?
- Yes — Gennadiy Shamalov's NPI (1174670319) is active in the NPPES registry as of the last update on 2012-09-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.