Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Anish A Shah, MD

Individual provider Surgery Physician · NPI 1770970600

Anish A Shah, MD is a General Surgery in Roslyn Heights, New York. Graduated from Icahn School of Medicine at Mount Sinai in 2015, 11 years ago. Practices with New York Bariatric Surgery Group PLLC, a 37-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
11
Trained at
Icahn School of Medicine at Mount Sinai
Licensed in
NC
In the registry since
2015
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

125 Mineola Ave Ste 200
Roslyn Heights, NY 11577-2042
Phone: (800) 633-8446
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 2020-03340 (NC)

Record details

NPI number1770970600
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 17, 2015
Last updated in NPPESJuly 25, 2022
Certification dateJuly 25, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Graduated 2015 (11 years in practice)
Group practice New York Bariatric Surgery Group Pllc — 37 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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