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

Ayyaz M Shah, DO

Individual provider Dermatology Physician · NPI 1619167673

Ayyaz M Shah, DO is a Dermatology in Vestal, New York. Graduated from New York College of Osteo Medicine of New York Institute of Technology in 1994, 32 years ago. Practices with United Health Services Hospitals, Inc, a 472-clinician group and accepts Medicare assignment. Licensed in Florida and New York.

Years since qualifying
32
Trained at
New York College of Osteo Medicine of New York Institute of Technology
Licensed in
FL, NY
In the registry since
2007
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

200 Frnt ST
Vestal, NY 13850-1559
Phone: (607) 658-1003
Fax: (607) 658-1006
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 203641 (NY)
Dermatology Physician Taxonomy 207N00000X · Licence OS10163 (FL)

Record details

NPI number1619167673
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 26, 2007
Last updated in NPPESOctober 27, 2020
Certification dateOctober 27, 2020
Mailing address33 Lewis Rd, 2nd Fl, Binghamton, NY 13905

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolNEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated 1994 (32 years in practice)
Group practice United Health Services Hospitals, Inc. — 472 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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