Shady Medical PLLC
NPI 1487510814 · Internal Medicine Physician · East Syracuse, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shady Medical PLLC is a Internal Medicine Physician organization in East Syracuse, NY (NPI 1487510814).
Provider details
- NPI number
- 1487510814
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Amr Shady, Authorized Official(315) 541-4445
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
Under 1 yr in 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
- 2025-12-30
- Last updated
- 2026-05-07
- Certified
- 2026-05-07
Frequently asked questions
- What is Shady Medical PLLC's NPI number?
- Shady Medical PLLC's National Provider Identifier (NPI) is 1487510814, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shady Medical PLLC?
- Shady Medical PLLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Shady Medical PLLC located?
- Shady Medical PLLC's practice location on file with NPPES is 5015 Campuswood Dr Ste 207, East Syracuse, NY 13057-4232.
- What is Shady Medical PLLC's phone number?
- The practice phone number listed in the NPPES registry for Shady Medical PLLC is (607) 429-8590.
- Does Shady Medical PLLC accept Medicare?
- Shady Medical PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Shady Medical PLLC?
- The authorized official listed on Shady Medical PLLC's NPPES record is Amr Shady, Authorized Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shady Medical PLLC's NPI active?
- Yes — Shady Medical PLLC's NPI (1487510814) is active in the NPPES registry as of the last update on 2026-05-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.