Sapna Shah, M.D.
NPI 1659534543 · Family Medicine Physician · South Richmond Hill, NY
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sapna Shah, M.D. is a Family Medicine Physician provider in South Richmond Hill, NY (NPI 1659534543).
Provider details
- NPI number
- 1659534543
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 249371 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
17 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
512 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. 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 .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 121 | $144 |
| Advance Care Planning, First 30 Minutes99497 | 92 | $92 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 84 | $103 |
| Annual Depression Screening, 5 to 15 MinutesG0444 | 56 | $22 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 51 | $147 |
| Administration of Influenza Virus VaccineG0008 | 28 | $37 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 56 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 279 | 85 |
| Amlodipine Besylate | 223 | 72 |
| Losartan Potassium | 223 | 72 |
| Metformin Hcl | 152 | 51 |
| Levothyroxine Sodium | 131 | 42 |
| Rosuvastatin Calcium | 103 | 34 |
| Simvastatin |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$356 across 6 records (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
Additional practice locations (1)
- 1575 Hillside Ave Ste 203New Hyde Park, NY 11040-2501Phone: (516) 888-6341Fax: (516) 888-7156
Registry dates
- Enumerated
- 2008-07-09
- Last updated
- 2018-05-21
Frequently asked questions
- What is Sapna Shah's NPI number?
- Sapna Shah's National Provider Identifier (NPI) is 1659534543, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sapna Shah's specialty?
- Sapna Shah is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Sapna Shah located?
- Sapna Shah's practice location on file with NPPES is 12506 101st Ave, South Richmond Hill, NY 11419.
- What is Sapna Shah's phone number?
- The practice phone number listed in the NPPES registry for Sapna Shah is (718) 849-2900.
- Does Sapna Shah accept Medicare?
- Sapna Shah is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sapna Shah's NPI active?
- Yes — Sapna Shah's NPI (1659534543) is active in the NPPES registry as of the last update on 2018-05-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.